Carmen D. Rodriguez, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW00009575 Issued in WA

Practice address

1345 22ND St NE
Auburn, WA 98002-3442

Phone

(253) 833-5908

Fax

(253) 931-8981

NPI assigned

Nov 20, 2017

Last updated

Nov 20, 2017By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Children's Home Society of Washington

  dba Akin

  • Community/Behavioral Health Agency
  • Seattle, WA
  • NPI 1366565418
  NPD (past)

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

{
    "created_epoch": "1511136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511136000000",
    "number": "1942714415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 14TH AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981443411",
            "telephone_number": "253-833-5908",
            "fax_number": "253-931-8981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 22ND ST NE",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980023442",
            "telephone_number": "253-833-5908",
            "fax_number": "253-931-8981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "CARMEN",
        "middle_name": "D.",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-20",
        "last_updated": "2017-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00009575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Rock, DPT
• Kennedy Quinn Rodarte, LMFTA
• Rodney W Snyder, MD PLLC (Auburn Womens Healthcare)
• Melanie Abad Rodrigo, LPN
• Angela Mae Rodriguez, LMP
• Eric Rodriguez
• Gilma Rodriguez, COTA
• Jaime Eleazar Rodriguez Jr., MD
• Kayla Rodriguez
• Kenia Rodriguez

• Clinical Social Worker in Auburn, WA
• Providers in Auburn, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2017; 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.