Active NPI
Marlaina Shalise Rodriguez, ACSW
- Social Worker
- Davis, CA
National Provider Identifier
1568153344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 113912
- Practice address
- 600 A St
Davis, CA 95616-3649 - Phone
- (530) 204-9467
- NPI assigned
- May 15, 2023
- Last updated
- May 15, 2023
- 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 | 113912 | CA | Primary |
Addresses
Primary practice location
600 A St
Davis, CA 95616-3649
Mailing address
4059 Innovator Dr Unit 5101
Sacramento, CA 95834-7917
Phone (818) 585-8168
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 |
|---|---|---|---|
| 113912 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684108800000",
"number": "1568153344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4059 INNOVATOR DR UNIT 5101",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958347917",
"telephone_number": "818-585-8168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 A ST",
"city": "DAVIS",
"state": "CA",
"postal_code": "956163649",
"telephone_number": "530-204-9467"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "MARLAINA",
"middle_name": "SHALISE",
"credential": "ACSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-15",
"last_updated": "2023-05-15",
"certification_date": "2023-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "113912",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Davis, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.