Active NPI
Roberto Rodriguez, SOCIAL WORK LCSW
- Clinical Social Worker
- Dallas, TX
National Provider Identifier
1639606783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 11830
- Practice address
- 5011 Blanchard Dr
Dallas, TX 75227-1414 - Phone
- (214) 789-0726
- NPI assigned
- May 19, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 11830 | TX | Primary |
Addresses
Primary practice location
5011 Blanchard Dr
Dallas, TX 75227-1414
Mailing address
5011 Blanchard Dr
Dallas, TX 75227-1414
Phone (214) 789-0726
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11830 | TX | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1495152000000",
"number": "1639606783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5011 BLANCHARD DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752271414",
"telephone_number": "214-789-0726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5011 BLANCHARD DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752271414",
"telephone_number": "214-789-0726"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "ROBERTO",
"credential": "SOCIAL WORK LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-05-19",
"last_updated": "2017-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "11830",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
- Princess Alejandra Rodriguez, M.S.W
- Raul Pedro Rodriguez, M.D.
- Raymond Michael Rodriguez, DMD
- Richard David Rodriguez Jr., OTD
- Richard Spano Rodriguez Jr.
- Rodney Alan Rodriguez II, COA
- Ronald Andrew Rodriguez, PT, DPT
- Ruby Rodriguez, O.D.
- Ruth Carolina Rodriguez, LMFT-A
- Shanaly Ramirez Rodriguez, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.