Denise Rodriguez, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

DENISE RODRIGUEZ, LLC

Practice address

2885 N Brookbury Xing
Fayetteville, AR 72703-4377

Phone

(479) 466-8986

NPI assigned

May 31, 2022

Organization subpart

No

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

Authorized official

Name

Denise C Rodriguez, LCSWNPI 1730716887

Title

Owner

Phone

(479) 466-8986

Specialties & licenses 1

Addresses

Other names 1

• Denise Rodriguez, LLC Other name

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Denise Rodriguez, LCSW

  • Clinical Social Worker
  • Fayetteville, AR
  • NPI 1730716887
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672617600000",
    "number": "1679212476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2885 N BROOKBURY XING",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034377",
            "telephone_number": "479-466-8986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2885 N BROOKBURY XING",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034377",
            "telephone_number": "479-466-8986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENISE RODRIGUEZ, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-31",
        "last_updated": "2023-01-02",
        "certification_date": "2022-12-27",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-466-8986",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Denise Rodriguez, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Amanda Lavon Delsoto, CRNA
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• Elizabeth L Demoret
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• Megan Denman, OTR/L
• Anna Marie Dennis
• Dental Health Associates of Arkansas, P.a.
• Katherine Denton
• Laura Lynn Denton, M.D.

• Clinical Social Worker in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Clinical Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.