Ann Therese Rodriguez, LCSW, MS.ED

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

11652 Issued in CT

Practice address

291 Whitney Ave Ste 405
New Haven, CT 06511-3765

Phone

(203) 296-3399

NPI assigned

Mar 23, 2018

Last updated

Apr 12, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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

Specialty

Clinical Social Worker

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Group practices

Virginia South Psychiatric and Family ServicesGroup PAC ID 3476443797, 35 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72142

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

• Virginia South Psychiatric & Family Services

  • Psychiatry Physician
  • Petersburg, VA
  • NPI 1700894466
  Medicare reassignment Care Compare group NPD
• CCSN Behavioral Health, LLC

  • Intellectual & Developmental Disabilities Psychologist
  • Glastonbury, CT
  • NPI 1144767286
  NPD (past)
• Emilia's Kids

  • Early Intervention Provider Agency
  • Elmhurst, NY
  • NPI 1295970150
  NPD (past)
• Next Step Therapy Applied Behavior Analysis, PLLC

  • Behavior Analyst
  • Elmhurst, NY
  • NPI 1235098286
  NPD (past)
• Three Rivers Treatment Center LLC

  dba Three Rivers Treatment Center

  • Psychiatric Residential Treatment Facility
  • Kenbridge, VA
  • NPI 1568827780
  NPD (past)

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

{
    "created_epoch": "1521763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1417451303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 WHITNEY AVE STE 405",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065113765",
            "telephone_number": "203-296-3399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 WHITNEY AVE STE 405",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065113765",
            "telephone_number": "203-296-3399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2213 Main Street",
            "address_purpose": "LOCATION",
            "city": "Glastonbury",
            "state": "CT",
            "postal_code": "060332218",
            "country_code": "US",
            "telephone_number": "860-430-1762",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2300 Main St",
            "address_purpose": "LOCATION",
            "city": "Glastonbury",
            "state": "CT",
            "postal_code": "060332218",
            "country_code": "US",
            "telephone_number": "860-430-1762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "ANN",
        "middle_name": "THERESE",
        "name_prefix": "Mrs.",
        "credential": "LCSW, MS.ED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-23",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "11652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gloria Paulina Rodriguez Gomez, MD
• Juan Gabriel Rodriguez Guzman, M.D.
• Tania Alejandra Rodriguez-Carpio, MD
• Marc-Anthony Rodriguez-Carr
• Ana Rodriguez
• Bunny Catherina Rodriguez, M.S.W., L.A.D.C.
• Damaris Rodriguez, LCSW
• Dena Renee Rodriguez
• Denise Rodriguez, M.S.N.
• Eddie Rodriguez, MD

• Clinical Social Worker in New Haven, CT
• Providers in New Haven, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.