Juan J Rodriguez

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

101 Ridge St
Glens Falls, NY 12801-3624

Phone

(518) 926-7200

NPI assigned

Jun 5, 2018

Last updated

Jun 5, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1528156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528156800000",
    "number": "1972095982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 RIDGE ST",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128013624",
            "telephone_number": "518-926-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 RIDGE ST",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128013624",
            "telephone_number": "518-926-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "JUAN",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-05",
        "last_updated": "2018-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Marie Roberts, PT, DPT
• Owen Roberts, LMSW
• Danielle T Robillard, L.M.T.
• Michael Curran Robinson, MD
• Jennifer Rock
• Rosa Omayra Rodriguez, MCASAC
• Robyn Kidd Roemer, LMSW
• Elizabeth A Rogan, PA
• Eric Willard Rogers, MD
• Frank Rollo, M.D.

• Clinical Social Worker in Glens Falls, NY
• Providers in Glens Falls, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2018; 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.