Active NPI
Sharon Rodriguez
- Social Worker
- West Melbourne, FL
National Provider Identifier
1457943292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 19007
- Practice address
- 4641 Explorer Dr Apt 307
West Melbourne, FL 32904-6905 - Phone
- (939) 268-5497
- NPI assigned
- Feb 3, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 19007 | PR | Primary |
Addresses
Primary practice location
4641 Explorer Dr Apt 307
West Melbourne, FL 32904-6905
Mailing address
4641 Explorer Dr Apt 307
West Melbourne, FL 32904-6905
Phone (939) 268-5497
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19007 | PR | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612310400000",
"number": "1457943292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4641 EXPLORER DR APT 307",
"city": "WEST MELBOURNE",
"state": "FL",
"postal_code": "329046905",
"telephone_number": "939-268-5497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4641 EXPLORER DR APT 307",
"city": "WEST MELBOURNE",
"state": "FL",
"postal_code": "329046905",
"telephone_number": "939-268-5497"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "SHARON",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-03",
"last_updated": "2021-02-03",
"certification_date": "2021-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PR",
"license": "19007",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.