Individual provider Active NPI

Kristy Rodriguez

  • Social Worker
  • Brooklyn, NY
National Provider Identifier
1922763119
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
111983 Issued in NY
Practice address
12 Park St Lowr Level
Brooklyn, NY 11206-4541
Phone
(718) 963-4430
Fax
(646) 398-2794
NPI assigned
Nov 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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 111983 NY Primary

Addresses

Primary practice location

12 Park St Lowr Level
Brooklyn, NY 11206-4541

Mailing address

145 W 15TH St FL 2
New York, NY 10011-6701
Phone (212) 924-6320

Other practice location 1

28 Debevoise St
5th FL
Brooklyn, NY 11206
Phone (718) 963-4430

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20260219003524 NY Practitioner - Clinical Social Worker 4587145305 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

145 W 15TH St
FL 2
New York, NY 10011-6701

145 W 15TH St FL
Suite 2
New York, NY 10011-6701

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
100276NYMDMental Health Counselor
111983NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Puerto Rican Family Institute, Inc. CurrentSince Jan 4, 2026 Accepting new patients
Puerto Rican Family Institute, Inc. CurrentSince Jan 4, 2026 Accepting new patients
Puerto Rican Family Institute, Inc. PastSince Jan 4, 2026 Accepting new patients

Locations

130 W Tremont Ave
Bronx, NY 10453
Phone (718) 299-3045

28 Debevoise St
Ste 5
Brooklyn, NY 11206
Phone 7189634430 ext. 4470

12 Park St
Lowr
Brooklyn, NY 11206

145 W 15th St
Fl 5
New York, NY 10011
Phone (212) 229-6905

145 W 15th St
#2
New York, NY 10011
Phone (212) 924-6320

Organizations & group practices 4

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": "1635897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773360000000",
    "number": "1922763119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 W 15TH ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100116701",
            "telephone_number": "212-924-6320",
            "fax_number": "646-306-0513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 PARK ST LOWR LEVEL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112064541",
            "telephone_number": "718-963-4430",
            "fax_number": "646-398-2794"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28 Debevoise St",
            "address_2": "5th FL",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "11206",
            "country_code": "US",
            "telephone_number": "718-963-4430",
            "fax_number": "646-398-2794",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "KRISTY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-03",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "111983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.