Alexa Mary Rodell

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

85009 Issued in CA

Practice address

17111 Beach Blvd Ste 204
Huntington Beach, CA 92647-5947

Phone

(714) 272-7787

NPI assigned

Dec 28, 2010

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 1, 2024 through Feb 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1293494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1457655813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5322 BELLFLOWER BLVD",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907131414",
            "telephone_number": "714-272-7787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17111 BEACH BLVD STE 204",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926475947",
            "telephone_number": "714-272-7787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5322 Bellflower Blvd",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CA",
            "postal_code": "907131414",
            "country_code": "US",
            "telephone_number": "714-272-7787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODELL",
        "first_name": "ALEXA",
        "middle_name": "MARY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-28",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "85009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fernanda Rocha
• Ericka Rockwell, M.S., BCBA
• Karla Yanina Rodas
• Melissa Maria Rodas, D.D.S
• Allison Lynn Roddy, PSY.D.
• Ashley Rodgers
• Paul Jorge Rodrigues, D.C.
• Claudia Rodriguez Gomez, PPS
• Samantha Rodriguez Zuniga, AMFT
• Amy Rodriguez

• Clinical Social Worker in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.