Jacob Rodriguez, LCSW
Individual provider Active NPI Clinical Social Worker · Rollingwood, TX
NPI 1407600059 · NPPES record last updated Sep 10, 2026
Key facts
- NPI
- 1407600059
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 112133 (TX)
- Practice address
- 3006 Bee Caves Rd Ste D310
Rollingwood, TX 78746-5753 - Phone
- (512) 766-3375
- NPI assigned
- Apr 11, 2024
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 112133 | TX | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 112133 | TX | Yes |
Addresses
Primary practice location
3006 Bee Caves Rd Ste D310
Rollingwood, TX 78746-5753
Mailing address
3006 Bee Caves Rd Ste D310
Rollingwood, TX 78746-5753
Phone (512) 766-3375
Other names
- Jackie Rodriguez
Other providers in Rollingwood, TX
- Kruti Patel
- Jellirica Peters
- Jonathan William Prokop
- Richard Family Chiropractic, PA
- Al Dean Richard
- Yulia Shtareva
- Emma Wilkes Smith
- South Austin Health Imaging LLC
- Joseph Swider
- The Dental House
All providers in Rollingwood, TX · Clinical Social Worker in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.