Individual provider Active NPI

Cruz Antonio Rodriguez, LCSW

  • Behavior Analyst
  • Miami, FL
National Provider Identifier
1780980144
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-26-89793 Issued in FL
Practice address
14221 SW 120TH St Ste 118
Miami, FL 33186-7463
Phone
(917) 771-2707
NPI assigned
Feb 2, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 084817-1 NY
Clinical Social Worker 1041C0700X SW13541 FL
Behavior Analyst 103K00000X 1-26-89793 FL Primary

Addresses

Primary practice location

14221 SW 120TH St Ste 118
Miami, FL 33186-7463

Mailing address

407 Lincoln Rd Ste 6H
Miami Beach, FL 33139-3023
Phone (917) 771-2707

Other identifiers 1

IdentifierTypeStateIssuer
022634800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190905001235 FL Practitioner - Clinical Social Worker 4688903370 Reassigns benefits to 3 organizations
I20231102001892 NY Practitioner - Clinical Social Worker 4688903370 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grow Healthcare Group PAGroup PAC ID 3476961368, 1,045 clinicians

Practice addresses (Care Compare)

165 Broadway
FL 23
New York, NY 10006-1452
Phone (202) 972-4964

66 E Flagler St
Miami, FL 33130-1807
Phone (786) 244-7711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW13541FLMDClinical Social Worker
084817-1NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Oct 1, 2021 Accepting new patients
Blue Moon Senior Counseling Clinical CurrentSince Aug 1, 2019 Accepting new patients
Center for Clinical & Forensic Psychology Inc CurrentSince Nov 19, 2019 Accepting new patients
Bliss Recovery Center LLC Past Accepting new patients

Locations

2057 Edgewater Dr
Clearwater, FL 33755
Phone (727) 205-7077

18 E 11th St
Hialeah, FL 33010
Phone (305) 883-8376

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

15520 NW 2nd Ave
North Miami Beach, FL 33169
Phone (305) 949-2626

10204 Bode St
Ste B
Plainfield, IL 60585
Phone (630) 229-6462

165 Broadway
Fl 23
New York, NY 10006
Phone (202) 972-4964

Organizations & group practices 4

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": "1296604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1780980144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 LINCOLN RD STE 6H",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331393023",
            "telephone_number": "917-771-2707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14221 SW 120TH ST STE 118",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331867463",
            "telephone_number": "917-771-2707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "CRUZ",
        "middle_name": "ANTONIO",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-02",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "084817-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW13541",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-26-89793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022634800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.