Individual provider Active NPI

Cindy Rodriguez

  • Clinical Social Worker
  • North Miami, FL
National Provider Identifier
1902298433
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW18027 Issued in FL
Practice address
12550 Biscayne Blvd
North Miami, FL 33181-2541
Phone
(303) 324-7037
NPI assigned
Feb 20, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X
Clinical Social Worker 1041C0700X 0904014054 VA
Clinical Social Worker 1041C0700X SW18027 FL Primary

Addresses

Primary practice location

12550 Biscayne Blvd
North Miami, FL 33181-2541

Mailing address

12550 Biscayne Blvd
North Miami, FL 33181-2541
Phone (303) 324-7037

Other practice location 1

6951 Pistol Range Rd
Tampa, FL 33635
Phone (813) 814-2000

Other practice location 2

Merrifield 8221 Willow Oaks Corp Drive
Fairfax, VA 22031
Phone (703) 324-2481

Other names 1

  • Cindy Ceja Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230206003112 DC Practitioner - Clinical Social Worker 7517339229 Reassigns benefits to 1 organization
I20250113000445 VA Practitioner - Clinical Social Worker 7517339229 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
My Psychiatrist, LLC 15 clinicians

Practice addresses (Care Compare)

12359 Sunrise Valley Dr
Suite 320
Reston, VA 20191-3463
Phone (703) 596-4796

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904014054VAMDClinical Social Worker

Practice roles (3 of 4)

OrganizationSpecialtyStatusNew patients
My Psychiatrist LLC CurrentSince Sep 29, 2024 Accepting new patients
Fairfax County, Virginia Past Accepting new patients
O Yes Medical Services Inc. PastSince May 1, 2023 Accepting new patients

Locations

6565 Arlington Blvd
Ste 405
Falls Church, VA 22042
Phone (571) 946-2189

8140 Ashton Ave
Ste 200
Manassas, VA 20109
Phone (703) 330-9933

12359 Sunrise Valley Dr
Ste 320
Reston, VA 20191
Phone (703) 596-4796

12359 Sunrise Valley Dr
#32
Reston, VA 20191
Phone (703) 596-4796

Networks

  • Freedom Health HMO Network

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1424390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1902298433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12550 BISCAYNE BLVD",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331812541",
            "telephone_number": "303-324-7037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12550 BISCAYNE BLVD",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331812541",
            "telephone_number": "303-324-7037"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6951 Pistol Range Rd",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "33635",
            "country_code": "US",
            "telephone_number": "813-814-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Merrifield 8221 Willow Oaks Corp Drive",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "22031",
            "country_code": "US",
            "telephone_number": "703-324-2481",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "CINDY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-20",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904014054",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW18027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CINDY",
            "last_name": "CEJA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in North Miami, FL

Sources for this page

Verify at the official NPI Registry.