Ellie Rodriguez, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1177039-01 Issued in NY

Practice address

1 Gateway PLZ Ste 3B
Port Chester, NY 10573-4681

Phone

(914) 240-2241

Fax

(914) 937-3183

NPI assigned

Sep 1, 2022

Last updated

Sep 1, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Specialty

Clinical Social Worker

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1661990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1548980246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GATEWAY PLZ STE 3B",
            "city": "PORT CHESTER",
            "state": "NY",
            "postal_code": "105734681",
            "telephone_number": "914-240-2241",
            "fax_number": "914-937-3183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GATEWAY PLZ STE 3B",
            "city": "PORT CHESTER",
            "state": "NY",
            "postal_code": "105734681",
            "telephone_number": "914-240-2241",
            "fax_number": "914-937-3183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "ELLIE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-01",
        "last_updated": "2022-09-01",
        "certification_date": "2022-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "1177039-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ellie.rodriguez@fsw.org",
            "affiliation": "N",
            "address_1": "1 Gateway Plz Ste 3B",
            "city": "Port Chester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "105734681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Robin a Carlucci, DPM
• Robin Carlucci Murphy DPM PLLC
• Robin Carlucci Murphy DPM PLLC
• Michael David Robinson, D.D.S.
• Denisse Rodriguez
• Paola Rodriguez, LCAT, ATR-BC
• Pedro Rafael Rojas, M.D.
• Loren Rolon
• Augustina Rueda, LMSW
• Carlos Alberto Rueda, MD

• Clinical Social Worker in Port Chester, NY
• Providers in Port Chester, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.