Individual provider Active NPI

Kristina Elizabeth Rodriguez, MSW

  • School Social Worker
  • Valley Stream, NY
National Provider Identifier
1790497782
Registry record updated Dec 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
Practice address
1112 Aurelia CT
Valley Stream, NY 11580-2105
Phone
(516) 724-1686
NPI assigned
Dec 21, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X NY Primary

Addresses

Primary practice location

1112 Aurelia CT
Valley Stream, NY 11580-2105

Mailing address

1112 Aurelia CT
Valley Stream, NY 11580-2105
Phone (516) 724-1686

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Westburyschools.org Westbury UFSD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1671580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671580800000",
    "number": "1790497782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 AURELIA CT",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115802105",
            "telephone_number": "516-724-1686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 AURELIA CT",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115802105",
            "telephone_number": "516-724-1686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "KRISTINA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-21",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Westburyschools.org",
            "affiliation": "Y",
            "affiliationName": "Westbury UFSD",
            "address_1": "1112 Aurelia Ct",
            "city": "Valley Stream",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115802105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; 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.