Adrian Rodriguez, LCSW60626

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW60626 Issued in CA

Practice address

1965 Live Oak Blvd
Yuba City, CA 95991-8850

Phone

(530) 822-7200

Fax

(530) 822-7108

NPI assigned

Oct 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Clinical Social Worker

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

County of SutterGroup PAC ID 8426035627, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• County of Sutter

  • Adult Mental Health Clinic/Center
  • Yuba City, CA
  • NPI 1639397417
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433376000000",
    "number": "1861577819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1799 ESPLANADE WAY",
            "address_2": "N/A",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959931011",
            "telephone_number": "530-671-0943",
            "fax_number": "530-671-0943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1965 LIVE OAK BLVD",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959918850",
            "telephone_number": "530-822-7200",
            "fax_number": "530-822-7108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "ADRIAN",
        "credential": "LCSW60626",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2015-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW60626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10018",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert L. Ripley, DDS, Inc.
• Robert M Peppercorn MD Inc
• Conchita Robles-Shepard
• Joselyn Robles
• Bryan Rodrigues, PT
• Andrea Rodriguez
• Carol Rodriguez, REGISTERED NURSE
• Eva Rodriguez
• Laura Rodriguez
• Maria Rodriguez I

• Clinical Social Worker in Yuba City, CA
• Providers in Yuba City, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2015; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.