Kimberley Rodriguez Mojica, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW008555 Issued in GA

Practice address

7649 Morant Dr
Jonesboro, GA 30236-2835

Phone

(203) 610-3917

NPI assigned

Oct 6, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: kimberley.rodriguezmojica.p1@direct.wheelerclinic.nextgenshare.com

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

{
    "created_epoch": "1412553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1851794895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7649 MORANT DR",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302362835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7649 MORANT DR",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302362835",
            "telephone_number": "203-610-3917"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 Tuttle Pl",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "CT",
            "postal_code": "064571870",
            "country_code": "US",
            "telephone_number": "860-632-4100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ MOJICA",
        "first_name": "KIMBERLEY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-06",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW008555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candace Roberts
• Lashanda Robertson, LPC
• Angela Robinson
• Tina R Robinson, MD
• Zayed Robinson
• Brad Warren Roehl, DMD
• Sonia Ros, FNP
• April C Rose, LMT
• Sandra Marilu Rosemond, FNP-C
• Rosies Nursing and Home Health Care Agency

• Clinical Social Worker in Jonesboro, GA
• Providers in Jonesboro, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; 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.