Active NPI
Suzanne L Rodriguez, LICSW
- Clinical Social Worker
- Yakima, WA
National Provider Identifier
1659553725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LW 60137381
- Practice address
- 6 S 2ND St Ste 710
Yakima, WA 98901-2629 - Phone
- (509) 480-1059
- Fax
- (509) 452-2409
- NPI assigned
- Nov 30, 2007
- Sex
- Female
- 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 | LW 60137381 | WA | Primary |
Addresses
Primary practice location
6 S 2ND St Ste 710
Yakima, WA 98901-2629
Mailing address
6 S 2ND St Ste 710
Yakima, WA 98901-2629
Phone (509) 480-1059
Other practice location 1
4601 Tieton Dr
Yakima, WA 98908-3477
Phone (509) 452-2404
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110708000152 | WA | Practitioner - Clinical Social Worker | 4981882289 | Practice locations: Yakima, WA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
6 S 2ND St
Suite 710
Yakima, WA 98901-2629
Phone (509) 480-1059
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LW 60137381 | WA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sandra Saffran Arnp PHD Healthcare Associates PC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatric/Mental Health Clinical Nurse Specialist
- Yakima, WA
- NPI 1285800177
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610150400000",
"number": "1659553725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 S 2ND ST STE 710",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989012629",
"telephone_number": "509-480-1059",
"fax_number": "509-452-2409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 S 2ND ST STE 710",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989012629",
"telephone_number": "509-480-1059",
"fax_number": "509-452-2409"
}
],
"practiceLocations": [
{
"address_1": "4601 Tieton Dr",
"address_purpose": "LOCATION",
"city": "Yakima",
"state": "WA",
"postal_code": "989083477",
"country_code": "US",
"telephone_number": "509-452-2404",
"fax_number": "509-452-2409",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "SUZANNE",
"middle_name": "L",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-11-30",
"last_updated": "2021-01-09",
"certification_date": "2021-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "LW 60137381",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yakima, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2021; 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.
- 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.