Jose Luis Rodriguez Jr., L.C.S.W., L.A.C.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

992117 Issued in CO

Practice address

12067 Baseline Rd
Lafayette, CO 80026-9418

Phone

(303) 263-1542

NPI assigned

Sep 21, 2006

Sex

Male

Sole proprietor

Yes

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)

Enrolled

State licenses

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569801600000",
    "number": "1922106871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 97",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800270097",
            "telephone_number": "303-263-1542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12067 BASELINE RD",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800269418",
            "telephone_number": "303-263-1542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "JOSE",
        "middle_name": "LUIS",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "L.C.S.W., L.A.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2019-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "11",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "992117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rocky Mountain Pediatric Urology, PC
• Rocky Mountain Physicians Group, PC
• Cody Rodrigues
• Guadalupe Legarda Rodriguez, RDH
• Jill Marie Rodriguez, M.A.
• Maritza Alejandra Rodriguez
• Meredith A Rodriguez, RN
• Roxanne Marie Rodriguez
• Sonia Rodriguez, RN
• Kurt Roeser, PT

• Clinical Social Worker in Lafayette, CO
• Providers in Lafayette, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; 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.