Camille Denise Rodriguez, ACSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

91647 Issued in CA

Practice address

399 Taylor Blvd Ste 115
Pleasant Hill, CA 94523-2200

Phone

(925) 440-6046

NPI assigned

Nov 8, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1573171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617321600000",
    "number": "1467097824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 TAYLOR BLVD STE 115",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945232200",
            "telephone_number": "925-440-6046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 TAYLOR BLVD STE 115",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945232200",
            "telephone_number": "925-440-6046"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1811 Grand Canal Blvd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "952078107",
            "country_code": "US",
            "telephone_number": "877-418-2978",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "CAMILLE",
        "middle_name": "DENISE",
        "credential": "ACSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-08",
        "last_updated": "2021-04-02",
        "certification_date": "2021-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "91647",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riddel Chiropractic Center
• Brent Ringwood
• Robert Leon Robles, M.D.
• Julia Robson
• Adrianna Joy Rodriguez, MS, RD, LD
• Jose Luis Rodriguez, B.A.
• Rosemarie Rodriguez
• Roger W. Shortz, MD a Professional Corporation
• Robert Podmore Rogers, D.D.S.
• Amber Romano, DC

• Clinical Social Worker in Pleasant Hill, CA
• Providers in Pleasant Hill, 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 Apr 2, 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.

Verify at the official NPI Registry.