Individual provider Active NPI

Jessica E Rodriguez, LCSW

  • Clinical Social Worker
  • Bridgeton, MO
National Provider Identifier
1528840733
Registry record updated Jul 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2025037327 Issued in MO
Practice address
3751 Pennridge Dr Ste 119
Bridgeton, MO 63044-1244
Phone
(314) 901-3244
NPI assigned
Oct 23, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2026

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 2025037327 MO Primary
Clinical Social Worker 1041C0700X 149.031031 IL

Addresses

Primary practice location

3751 Pennridge Dr Ste 119
Bridgeton, MO 63044-1244

Mailing address

3751 Pennridge Dr Ste 119
Bridgeton, MO 63044-1244
Phone (314) 901-3244

Other practice location 1

1015 S Compton Ave
Saint Louis, MO 63104-1209
Phone (314) 901-3244

Other identifiers 1

IdentifierTypeStateIssuer
490132829MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20240111001875 MO Practitioner - Clinical Social Worker 4486005790 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2025037327MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cultura Care & Consulting, LLC Clinical Current Accepting new patients

Locations

3751 Pennridge Dr
Ste 119
Bridgeton, MO 63044
Phone (314) 239-2728

1015 S Compton Ave
Saint Louis, MO 63104
Phone (314) 398-2466

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": "1698019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784332800000",
    "number": "1528840733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3751 PENNRIDGE DR STE 119",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630441244",
            "telephone_number": "314-901-3244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3751 PENNRIDGE DR STE 119",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630441244",
            "telephone_number": "314-901-3244"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1015 S Compton Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631041209",
            "country_code": "US",
            "telephone_number": "314-901-3244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "JESSICA",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-23",
        "last_updated": "2026-07-18",
        "certification_date": "2026-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2025037327",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.031031",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "490132829",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeton, MO

Sources for this page

Verify at the official NPI Registry.