Jessica Nicole Rodriguez Cruz, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW114622 Issued in CA

Practice address

405 W 5TH St
Santa Ana, CA 92701-4599

Phone

(855) 625-4657

NPI assigned

Nov 19, 2012

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

Other names 1

• Ms. Jessica Nicole Rodriguez Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Pathways Community Services LLC

  • Community/Behavioral Health Agency
  • Pico Rivera, CA
  • NPI 1639364862
  NPD (past)
• Pathways Community Services, LLC

  • Community/Behavioral Health Agency
  • Pico Rivera, CA
  • NPI 1497378715
  NPD (past)

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

{
    "created_epoch": "1353283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731196800000",
    "number": "1780928424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 W 5TH ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927014599",
            "telephone_number": "855-625-4657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 W 5TH ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927014599",
            "telephone_number": "855-625-4657"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8337 Telegraph Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Pico Rivera",
            "state": "CA",
            "postal_code": "906604957",
            "country_code": "US",
            "telephone_number": "562-865-3644",
            "fax_number": "562-246-5704",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1720 Hopkins Dr",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951221632",
            "country_code": "US",
            "telephone_number": "408-928-7500",
            "fax_number": "408-928-7501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21520 Pioneer Blvd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Hawaiian Gardens",
            "state": "CA",
            "postal_code": "90716",
            "country_code": "US",
            "telephone_number": "562-865-3644",
            "fax_number": "562-246-5704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ CRUZ",
        "first_name": "JESSICA",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-19",
        "last_updated": "2024-11-10",
        "certification_date": "2024-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW114622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "RODRIGUEZ",
            "middle_name": "NICOLE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sara Rodden, BCBA
• Jeovany Rodela
• David Leonard Rodibaugh, M.D.
• Mikayla Patricia Rodin
• Rodman Sandoval, O.D., Inc.
• Edgar Antonio Rodriguez Espino
• Gabriela Isabel Rodriguez Herencia
• Leslie Rubi Rodriguez Lazo
• Giselle Rodriguez Montano
• Roberto Rodriguez Ocampo

• Clinical Social Worker in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.