Marina Kantarovich Rodriguez, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

108 Union St
Easthampton, MA 01027

Phone

(323) 645-0039

NPI assigned

Dec 5, 2011

Last updated

Jun 11, 2019By 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

Medicare fee-for-service enrollment

Enrolled in MA

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Catalyst Cooperative Healing

  • Clinical Social Worker
  • Holyoke, MA
  • NPI 1811656283
  NPD

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

{
    "created_epoch": "1323043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1619245784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 UNION ST",
            "city": "EASTHAMPTON",
            "state": "MA",
            "postal_code": "010271443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 UNION ST",
            "city": "EASTHAMPTON",
            "state": "MA",
            "postal_code": "01027",
            "telephone_number": "323-645-0039"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2222 E Powell Blvd",
            "address_purpose": "LOCATION",
            "city": "Gresham",
            "state": "OR",
            "postal_code": "970801365",
            "country_code": "US",
            "telephone_number": "347-963-6908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "MARINA",
        "middle_name": "KANTAROVICH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-05",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riverside Industries, Inc
• Katherine Siobhan Rivest, PA-C
• Margaret Robbins, LICSW
• Whitney Robinson, M.A.
• Madeline Rodriguez, A.S, B.A
• Alison Rogers, LMHC
• Lindsay Rogers, MPH
• Susan Morgan Rogers, PSYD, LP
• Trisha Lynn Rogers, PA-C
• Rebecca Rogovin, LICSW

• Mental Health Counselor in Easthampton, MA
• Providers in Easthampton, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.