Roxana Rodriguez, LCSW
Individual provider Active NPI Clinical Social Worker · Miami, FL
NPI 1609548155 · NPPES record last updated Feb 11, 2026
Key facts
- NPI
- 1609548155
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- SW17912 (FL)
- Practice address
- 22790 SW 112TH Ave
Miami, FL 33170-7602 - Phone
- (305) 235-2616
- NPI assigned
- Oct 4, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250226003207 | FL | Practitioner - Clinical Social Worker | 4880114396 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW17912 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Mental Health | Current |
Accepting new patients |
| Agape Network, Inc. | Current |
Accepting new patients | |
| Agape Network, Inc. | Current |
Accepting new patients | |
| PM Pediatrics BH II, P.C. | Past | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
22790 SW 112th Ave
Miami, FL 33170
Phone (305) 235-2616
22790 SW 112th Ave
Fl Jail
Miami, FL 33170
Phone (305) 235-2616
17801 NW 2nd Ave
Ste 212
Miami Gardens, FL 33169
Phone (305) 235-2616
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW17912 | FL | Yes |
| Mental Health Counselor | 101YM0800X | SW17912 | FL |
Addresses
Primary practice location
22790 SW 112TH Ave
Miami, FL 33170-7602
Mailing address
22790 SW 112TH Ave
Miami, FL 33170-7602
Phone (305) 235-2616
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 129219100 | Medicaid | FL |
Other providers in Miami, FL
- Rosendo Ernesto Rodriguez
- Rosita Christina Rodriguez
- Rossana Rodriguez
- Roxana Rodriguez
- Roxana Rodriguez
- Roxanna Rodriguez
- Ruben Rodriguez
- Ruhaine Rodriguez
- Runel Rodriguez
- Sabrina Rodriguez
All providers in Miami, FL · Clinical Social Worker in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 11, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.