Azucena De Maria Rodriguez Becerra, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW005554 Issued in GA

Practice address

710 S Thornton Ave Ste F
Dalton, GA 30720-8421

Phone

(706) 459-1853

NPI assigned

Aug 7, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Azucena De Maria Rodriguez Rendon Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Modern Jane Solutions

  • Clinical Social Worker
  • Dalton, GA
  • NPI 1104549807
  NPD

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

{
    "created_epoch": "1691366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1932881141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 S THORNTON AVE STE F",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307208421",
            "telephone_number": "706-459-1853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 S THORNTON AVE STE F",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307208421",
            "telephone_number": "706-459-1853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ BECERRA",
        "first_name": "AZUCENA",
        "middle_name": "DE MARIA",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-07",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW005554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AZUCENA",
            "last_name": "RODRIGUEZ RENDON",
            "middle_name": "DE MARIA",
            "prefix": "MS.",
            "credential": "MSW, LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michona Holly Robinson, FNP
• John Phillip Robison, DMD
• Joseph Scott Robison, D.C.
• Lauren Elizabeth Rodgers, OTR/L
• Rogerio Rodrigues, DPT
• Marlen Rodriguez-Sandoval
• Rodovaldo Rodriguez Jr., M.D.
• Jason Rodwell, PA-C
• Regina T Rogers, APRN
• Sheree Williams Rogers, COTA/L

• Clinical Social Worker in Dalton, GA
• Providers in Dalton, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; 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.