Individual provider Active NPI

Esther Ivy Rodriguez, LICSW

  • Clinical Social Worker
  • Yakima, WA
National Provider Identifier
1932336336
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW60509111 Issued in WA
Practice address
1015 S 40TH Ave Ste 21-23
Yakima, WA 98908-3806
Phone
(509) 985-0023
NPI assigned
Jun 12, 2009
Last updated
Oct 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LW60509111 WA Primary

Addresses

Primary practice location

1015 S 40TH Ave Ste 21-23
Yakima, WA 98908-3806

Mailing address

1015 S 40TH Ave Ste 21-23
Yakima, WA 98908-3806
Phone (509) 985-0023

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Soul Connections, PLLC Clinical CurrentSince Mar 11, 2025 Accepting new patients
Center for Counseling & Psychotherapy LLC Counselor CurrentSince Jul 1, 2024 Accepting new patients
Center for Counseling & Psychotherapy, LLC Past Accepting new patients

Locations

1015 S 40th Ave
Ste 2123
Yakima, WA 98908
Phone (253) 961-3629

1015 S 40th Ave
Ste 23
Yakima, WA 98908
Phone (509) 965-3115

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1244764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1932336336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 S 40TH AVE STE 21-23",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989083806",
            "telephone_number": "509-985-0023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 S 40TH AVE STE 21-23",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989083806",
            "telephone_number": "509-985-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "ESTHER",
        "middle_name": "IVY",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-12",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60509111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

Verify at the official NPI Registry.