Individual provider Active NPI

Clara Isabel Rodriguez, LCSW-R

  • Clinical Social Worker
  • New Rochelle, NY
National Provider Identifier
1467614453
Registry record updated Jul 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
076772 Issued in NY
Practice address
481 Main St Ste 403
New Rochelle, NY 10801-6360
Phone
(914) 355-2440
Fax
(914) 235-0822
NPI assigned
Jun 30, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 076772 NY Primary

Addresses

Primary practice location

481 Main St Ste 403
New Rochelle, NY 10801-6360

Mailing address

481 Main St Ste 403
New Rochelle, NY 10801-6360
Phone (914) 355-2440

Other names 1

  • Ms. Clara Isabel Cerda Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20181018002303 NY Practitioner - Clinical Social Worker 3678826773 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
New Fronteras Licensed Clinical Social Work Services, PLLC CurrentSince Jul 16, 2018 Accepting new patients
Alssaro Counseling Services, LCSW, PLLC Clinical Past Accepting new patients

Locations

161 N Middletown Rd
Pearl River, NY 10965
Phone (845) 219-1637

161 N Middletown Rd
Ste 1
Pearl River, NY 10965

Organizations & group practices 2

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": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278633600000",
    "number": "1467614453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "481 MAIN ST STE 403",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108016360",
            "telephone_number": "914-355-2440",
            "fax_number": "914-235-0822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "481 MAIN ST STE 403",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108016360",
            "telephone_number": "914-355-2440",
            "fax_number": "914-235-0822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "CLARA",
        "middle_name": "ISABEL",
        "name_prefix": "Mrs.",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-30",
        "last_updated": "2010-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "076772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLARA",
            "last_name": "CERDA",
            "middle_name": "ISABEL",
            "prefix": "MS.",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Rochelle, NY

Sources for this page

Verify at the official NPI Registry.