Individual provider Active NPI

Sarah Rodriguez, LCSW

  • Clinical Social Worker
  • Miami, FL
National Provider Identifier
1518437185
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW20319 Issued in FL
Practice address
8516 SW 103Rd Ave
Miami, FL 33173-3957
Phone
(304) 894-4045
NPI assigned
Nov 27, 2018
Last updated
Oct 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SC60891890 WA
Clinical Social Worker 1041C0700X SW20319 FL Primary

Addresses

Primary practice location

8516 SW 103Rd Ave
Miami, FL 33173-3957

Mailing address

8516 SW 103Rd Ave
Miami, FL 33173-3957
Phone (304) 894-4045

Other practice location 1

804 NW 21st Terrace
Miami, FL 33127
Phone (305) 563-3136 ext. 2

Other practice location 2

1600 S Lane St
Seattle, WA 98144
Phone (206) 682-2371 ext. 5201

Other names 1

  • Sarah Pettyjohn Former name

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

LicenseStateTypeSpecialty
SW20319FLMDClinical Social Worker
SC60891890WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Perspective Counseling Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1543276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1518437185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8516 SW 103RD AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733957",
            "telephone_number": "304-894-4045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8516 SW 103RD AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733957",
            "telephone_number": "304-894-4045"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "804 NW 21st Terrace",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "33127",
            "country_code": "US",
            "telephone_number": "305-563-3136 x2",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 S Lane St",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "98144",
            "country_code": "US",
            "telephone_number": "206-682-2371 x5201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "SARAH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-27",
        "last_updated": "2024-10-02",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SC60891890",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW20319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "PETTYJOHN",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; 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.