Kimberly Alexandra Rodriguez, LCSW136501

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LCSW136501 Issued in CA

Practice address

3838 Camino del Rio N Ste 225
San Diego, CA 92108-1763

Phone

(619) 736-7380

NPI assigned

Aug 14, 2014

Sex

Female

Sole proprietor

Yes

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 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

Specialty

Clinical Social Worker

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

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.

• Twin Midline Therapy

  • Mental Health Counselor
  • San Diego, CA
  • NPI 1356295430
  NPD Authorized official
• Sud Specialty Group - Ca

  dba Rula Health

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Santa Clara, CA
  • NPI 1972138238
  Medicare reassignment
• Community Research Foundation Inc

  dba StepForward

  • Community/Behavioral Health Agency
  • San Diego, CA
  • NPI 1730302928
  NPD (past)

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1740689827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 547",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925930547",
            "telephone_number": "951-836-7648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3838 CAMINO DEL RIO N STE 225",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081763",
            "telephone_number": "619-736-7380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "PO Box 547",
            "address_purpose": "LOCATION",
            "city": "Temecula",
            "state": "CA",
            "postal_code": "925930547",
            "country_code": "US",
            "telephone_number": "951-836-7648",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "KIMBERLY",
        "middle_name": "ALEXANDRA",
        "credential": "LCSW136501",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-14",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LCSW136501",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW136501",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julianna Michelle Rodriguez
• Kanya Annette Rodriguez, MHRS
• Karen Rodriguez
• Karen Daniela Rodriguez
• Kevin J Rodriguez, RDN
• Kortney Rodriguez
• Kristina Rodriguez, MASTER'S DEGREE
• Laura Maria Rodriguez
• Lauren Kate Rodriguez
• Leticia Rodriguez

• Mental Health Counselor in San Diego, CA
• Providers in San Diego, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; 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.