Ingrid Deborah Rodriguez, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

9048 Issued in PR

Practice address

Calle del Carmen # 9
Altos
Fajardo, PR 00738

Phone

(787) 914-7833

NPI assigned

Oct 11, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1696982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1790566065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 CALLE NAPOLES",
            "city": "NAGUABO",
            "state": "PR",
            "postal_code": "007182825",
            "telephone_number": "787-914-7833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE DEL CARMEN # 9",
            "address_2": "ALTOS",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "00738",
            "telephone_number": "787-914-7833"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "68 Calle Esteban Padilla",
            "address_purpose": "LOCATION",
            "city": "Bayamon",
            "state": "PR",
            "postal_code": "009596705",
            "country_code": "US",
            "telephone_number": "787-914-7833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "INGRID",
        "middle_name": "DEBORAH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-11",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "9048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noelia Rodriguez-Perez, M.D.
• Agatha L Medina Rodriguez, REGISTERE NURSE
• Bernabe Rodriguez Jr., LCSW
• Carlos Luis Rodriguez, M.D.
• Gabriela D Rodriguez
• Jaime Enrique Rodriguez Jr., M.D.
• Marangelie Rodriguez, FARMACY TECNICIAN
• Margarita Rodriguez
• Mirna Rodriguez
• Nydia M. Rodriguez, 761

• Clinical Social Worker in Fajardo, PR
• Providers in Fajardo, PR by specialty
• Clinical Social Worker in Puerto Rico

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