Active NPI
Marilyn Rodriguez
- Social Worker
- Chicago, IL
National Provider Identifier
1548837941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 150.105003
- Practice address
- 155 N Michigan Ave
Chicago, IL 60601-7511 - Phone
- (312) 620-7551
- NPI assigned
- Jun 5, 2021
- Sex
- Female
- Sole proprietor
- No
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 | 150.105003 | IL | Primary |
Addresses
Primary practice location
155 N Michigan Ave
Chicago, IL 60601-7511
Mailing address
1813 N Kildare Ave
Chicago, IL 60639-4815
Phone (773) 953-0200
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Laptop | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| 150.105003 | IL | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Latinx Talk Therapy LLC | 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.
-
- Mental Health Counselor
- Chicago, IL
- NPI 1053878132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622851200000",
"number": "1548837941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1813 N KILDARE AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606394815",
"telephone_number": "773-953-0200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 N MICHIGAN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606017511",
"telephone_number": "312-620-7551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "MARILYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-05",
"last_updated": "2021-06-05",
"certification_date": "2021-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "150.105003",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Laptop",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "155 N Michigan Ave",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606017511",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.