Individual provider Active NPI

Sheri Dee Rodriguez, LMSW

  • Social Worker
  • Grand Rapids, MI
National Provider Identifier
1770723710
Registry record updated Jun 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801067666 Issued in MI
Practice address
1515 Lancashire Dr SE
Grand Rapids, MI 49508-2534
Phone
(616) 260-3559
NPI assigned
Mar 4, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801067666 MI Primary

Addresses

Primary practice location

1515 Lancashire Dr SE
Grand Rapids, MI 49508-2534

Mailing address

1515 Lancashire Dr SE
Grand Rapids, MI 49508-2534
Phone (616) 260-3559

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20090602000582 MI Practitioner - Clinical Social Worker 5991855520 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sheri Rodriguez, LMSW, AcswGroup PAC ID 8022415694, 3 clinicians

Practice addresses (Care Compare)

Grand Rapids, MI 49508
Phone (616) 260-3559

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801067666MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sheri Rodriguez, LMSW, Acsw CurrentSince Nov 23, 2009 Accepting new patients
Sheri Rodriguez & Associates Therapy CurrentSince Jun 27, 2021 Accepting new patients
Pine Rest Christian Mental Health Services Past Accepting new patients

Locations

4328 Kalamazoo Ave SE
Grand Rapids, MI 49508
Phone (616) 260-3559

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1236124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1770723710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 LANCASHIRE DR SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495082534",
            "telephone_number": "616-260-3559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 LANCASHIRE DR SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495082534",
            "telephone_number": "616-260-3559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "SHERI",
        "middle_name": "DEE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-04",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801067666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.