Individual provider Active NPI

Christina Leonor Rodriguez, L.C.S.W

  • Clinical Social Worker
  • Silverton, OR
National Provider Identifier
1417079146
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L5354 Issued in OR
Practice address
335 Fairview St
Silverton, OR 97381-1916
Phone
(503) 874-5625
NPI assigned
Apr 4, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Clinical Social Worker 1041C0700X L5354 OR Primary

Addresses

Primary practice location

335 Fairview St
Silverton, OR 97381-1916

Mailing address

PO Box 3417
Portland, OR 97208-3417
Phone (503) 413-3900

Other practice location 1

3878 Beverly Ave NE
Building H
Salem, OR 97305-1394
Phone (503) 566-2914

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140512001179 OR Practitioner - Clinical Social Worker 5890928121 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Silverton HealthGroup PAC ID 8921901877, 147 clinicians

Practice addresses (Care Compare)

861 W Main St
Molalla, OR 97038-9352
Phone (503) 874-5670

Merit-based Incentive Payment System (MIPS)

Final score
95.41 of 100Reported as group
Quality
88.83
Promoting interoperability
100
Improvement activities
40
Cost
82.4

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L5354ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Silverton Health CurrentSince Jan 18, 2014 Accepting new patients
Legacy Good Samaritan Hospital and Medical Center Current Accepting new patients
Silverton Health CurrentSince Jan 18, 2014 Accepting new patients
Legacy Good Samaritan Hospital and Medical Center CurrentSince Apr 1, 2019 Accepting new patients
Legacy Good Samaritan Hospital and Medical Center CurrentSince Apr 1, 2019 Accepting new patients
Silverton Health Current Accepting new patients

Locations

861 W Main St
Molalla, OR 97038
Phone (503) 829-7344

1040 NW 22nd Ave
Ste 520
Portland, OR 97210
Phone (503) 413-7557

1200 NW 23rd Ave
Portland, OR 97210
Phone (503) 413-7074

347 Fairview St
Silverton, OR 97381
Phone (503) 873-5667

335 Fairview St
Silverton, OR 97381
Phone (503) 873-4115

342 Fairview St
Silverton, OR 97381
Phone (503) 525-7660

1475 Mount Hood Ave
Woodburn, OR 97071
Phone (503) 982-2174

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1417079146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3417",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083417",
            "telephone_number": "503-413-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 FAIRVIEW ST",
            "city": "SILVERTON",
            "state": "OR",
            "postal_code": "973811916",
            "telephone_number": "503-874-5625"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3878 Beverly Ave NE",
            "address_2": "Building H",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973051394",
            "country_code": "US",
            "telephone_number": "503-566-2914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "CHRISTINA",
        "middle_name": "LEONOR",
        "credential": "L.C.S.W",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L5354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silverton, OR

Sources for this page

Verify at the official NPI Registry.