Individual provider Active NPI

Damaris Rodriguez, LCSW

  • Social Worker
  • Austin, TX
National Provider Identifier
1811663743
Registry record updated May 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
63005 Issued in TX
Practice address
100 W Dean Keeton St
Austin, TX 78712-1091
Phone
(512) 471-3515
Fax
(512) 471-0898
NPI assigned
Aug 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 63005 TX Primary

Addresses

Primary practice location

100 W Dean Keeton St
Austin, TX 78712-1091

Mailing address

3001 Esperanza Xing Apt 4025
Austin, TX 78758-3679
Phone (210) 724-1119

Other practice location 1

3001 Esperanza Xing Apt 4025
Austin, TX 78758-3679
Phone (210) 724-1119

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

State licenses

LicenseStateTypeSpecialty
63005TXMDCritical Care Pharmacist

Interoperability endpoints

  • Direct secure messaging: damaris.rodriguez.2@8363.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1629417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652659200000",
    "number": "1811663743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 ESPERANZA XING APT 4025",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787583679",
            "telephone_number": "210-724-1119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W DEAN KEETON ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787121091",
            "telephone_number": "512-471-3515",
            "fax_number": "512-471-0898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3001 Esperanza Xing Apt 4025",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787583679",
            "country_code": "US",
            "telephone_number": "210-724-1119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "DAMARIS",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-20",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "63005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.