Kimberly Rodriguez, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

44SL07181900 Issued in NJ

Practice address

777 Bloomfield Ave
Clifton, NJ 07012-1242

Phone

(973) 594-0125

NPI assigned

Oct 22, 2024

Last updated

Oct 23, 2024By 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 NJ

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.

• Serv Centers of New Jersey, Inc

  dba Clifton Family Outpatient Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Clifton, NJ
  • NPI 1356454615
  Medicare reassignment NPD
• Anchor Therapy, LLC

  • Clinical Social Worker
  • Hoboken, NJ
  • NPI 1235669540
  NPD
• Serv Centers of New Jersey, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Clifton, NJ
  • NPI 1700549680
  NPD

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

{
    "created_epoch": "1729555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1669293734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 LIBERTY ST",
            "city": "LITTLE FERRY",
            "state": "NJ",
            "postal_code": "076431303",
            "telephone_number": "201-314-9063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 BLOOMFIELD AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070121242",
            "telephone_number": "973-594-0125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "KIMBERLY",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-22",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL07181900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Wood Johnson
• Donna Jean Roberto
• Kristopher Robinson
• Rodolfo a Munera
• Juliet Rodriguez Pumariega
• Mayra Joselyn Rodriguez
• Ramon Luis Rodriguez
• Valeria Rodriguez
• Yanela Rodriguez, TSLD
• Roger Warren, DDS, PA

• Social Worker in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.