Individual provider Active NPI

Tara Rodriquez, LCSW

  • Clinical Social Worker
  • Los Angeles, CA
National Provider Identifier
1689354334
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW131639 Issued in CA
Practice address
3154 Glendale Blvd # 1209
Los Angeles, CA 90039-1830
Phone
(323) 505-8272
Fax
(323) 799-9633
NPI assigned
Jul 18, 2023
Last updated
Jan 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW131639 CA Primary

Addresses

Primary practice location

3154 Glendale Blvd # 1209
Los Angeles, CA 90039-1830

Mailing address

3154 Glendale Blvd # 1209
Los Angeles, CA 90039-1830
Phone (323) 505-8272

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20251119001554 CA Practitioner - Clinical Social Worker 6709377542 Practice locations: Encino, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Encino, CA 91316
Phone (323) 505-8272

18034 Ventura Blvd
Suite 1012
Encino, CA 91316-3516

5301 Newcastle Ave
Apt 15
Encino, CA 91316-3063

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW131639CAMDClinical Social Worker
131639CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1689638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769126400000",
    "number": "1689354334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3154 GLENDALE BLVD # 1209",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900391830",
            "telephone_number": "323-505-8272",
            "fax_number": "323-799-9633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3154 GLENDALE BLVD # 1209",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900391830",
            "telephone_number": "323-505-8272",
            "fax_number": "323-799-9633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIQUEZ",
        "first_name": "TARA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-18",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW131639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.