Crystal Mary Roedler, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

5073 Issued in TN

Practice address

18511 Highlander Medics Street
El Paso, TX 79918

Phone

(915) 742-2800

NPI assigned

Mar 1, 2007

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

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1801924980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "WBAMC",
            "address_2": "11885 HIGHLANDER",
            "city": "FT. BLISS",
            "state": "TX",
            "postal_code": "79916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18511 HIGHLANDER MEDICS STREET",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79918",
            "telephone_number": "915-742-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROEDLER",
        "first_name": "CRYSTAL",
        "middle_name": "MARY",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "5073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronica Rodriguez
• Veronica Rodriguez
• Victor Schafer Rodriguez
• Yomaira Yolanda Rodriguez
• Yvonne Marie Rodriguez, OTR
• Randy Roepke, OTR
• Adam Ray Rogers, PHARMD
• Charles Craig Rogers, P.A.
• Cheryl Jan Rogers, MD
• Katrina Rogers, AGACNP

• Clinical Social Worker in El Paso, TX
• Providers in El Paso, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.