Active NPI
Gilberto Rodriguez, MSW, PGSW
- Social Worker
- Hammond, LA
National Provider Identifier
1962725622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 10688
- Practice address
- 15785 Medical Arts Dr
Hammond, LA 70403-1447 - Phone
- (985) 543-4080
- Fax
- (985) 543-4090
- NPI assigned
- Mar 10, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 10688 | LA | Primary |
Addresses
Primary practice location
15785 Medical Arts Dr
Hammond, LA 70403-1447
Mailing address
15785 Medical Arts Dr
Hammond, LA 70403-1447
Phone (985) 543-4080
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11166 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10688 | LA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268179200000",
"number": "1962725622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15785 MEDICAL ARTS DR",
"city": "HAMMOND",
"state": "LA",
"postal_code": "704031447",
"telephone_number": "985-543-4080",
"fax_number": "985-543-4090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15785 MEDICAL ARTS DR",
"city": "HAMMOND",
"state": "LA",
"postal_code": "704031447",
"telephone_number": "985-543-4080",
"fax_number": "985-543-4090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "GILBERTO",
"credential": "MSW, PGSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-03-10",
"last_updated": "2010-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "LA",
"license": "10688",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "11166",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hammond, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.