Rafael Roa Rodriguez, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

096970 Issued in NY

Practice address

262 E 174TH St
Bronx, NY 10457-7152

Phone

(718) 299-6910

NPI assigned

Jan 28, 2022

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Clinical Social Worker

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

La Casa de Salud IncGroup PAC ID 6103913835, 23 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• La Casa de Salud Inc.

  • Federally Qualified Health Center (FQHC)
  • Bronx, NY
  • NPI 1548260870
  Medicare reassignment Care Compare group NPD
• La Casa de Salud, Inc

  • Federally Qualified Health Center (FQHC)
  • Bronx, NY
  • NPI 1326493982
  NPD
• La Casa de Salud, Inc

  • Multi-Specialty Clinic/Center
  • Bronx, NY
  • NPI 1407225956
  NPD (past)

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

{
    "created_epoch": "1643328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1669125852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 E 175TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104575848",
            "telephone_number": "718-960-7568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 E 174TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104577152",
            "telephone_number": "718-299-6910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROA RODRIGUEZ",
        "first_name": "RAFAEL",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-28",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "113614",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "096970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• RLD Medical Services, PC
• RMM Diagnostic Management
• RND Pharmacy Inc
• RND Pharmacy Inc
• RND Pharmacy Inc.
• Luis C Roa, FNP
• Yovanna A Roa
• Neshea Roach
• Diana Roata, NP
• M M Abdur Rob, DDS

• Clinical Social Worker in Bronx, NY
• Providers in Bronx, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; 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.

Verify at the official NPI Registry.