MR. MICHAEL JORDY RODRIGUEZ


Address: 4828 196th Pl, Fresh Meadows, NY 11365
Phone: 9172241245

MR. MICHAEL JORDY RODRIGUEZ (NPI# 1013466366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013466366
Entity Type Individual
Full Name MR. MICHAEL JORDY RODRIGUEZ
Credential LCSW
Practice Address 4828 196th Pl
Fresh Meadows
NY 11365
Mailing Address 4828 196th Pl
Fresh Meadows
NY 11365-1321
Practice Telephone 9172241245
Mailing Telephone 9172241245
Enumeration Date 2016-09-28
Last Update Date 2018-06-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 104100000X Social Worker 090124 NY Behavioral Health & Social Service Providers
Y 1041C0700X Social Worker
Specialization: Clinical
086539 NY Behavioral Health & Social Service Providers

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Office Location

Street Address 4828 196TH PL
City FRESH MEADOWS
State NY
Zip Code 11365

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427660653 Melanie Batista Massage Therapist 71-55 Parsons Blvd, Fresh Meadows, NY 11365 2020-08-19
1497396378 Celestina Andino Registered Nurse 194-15b 64th Circle, 3c, Fresh Meadows, NY 11365 2019-10-02
1659939304 Bracha Kosoff Occupational Therapist 71-64 168th St., Flushing, NY 11365 2019-05-29
1295290419 Kate Okeke Licensed Practical Nurse 188 04 64th Avenue, Fresh Meadow, NY 11365 2019-02-01
1669951497 Jihee Woo Registered Nurse 189-04 6f Fresh Meadows, Queeens, NY 11365 2018-08-13
1710465125 In Hye Choi Acupuncturist 67-02a 188st., Apt 3b, Fresh Meadows, NY 11365 2018-07-30
1497231112 Shamain C Persaud Case Manager/Care Coordinator 67-28 188th Street, Fresh Meadows, NY 11365 2018-07-16
1598280489 Gabriella Pamela Koyenova Physician Assistant 69-24 181st Street, Fresh Meadows, NY 11365 2017-08-11
1750802781 Nicola Coley Behavioral Analyst 6747 161st Street, 1k, Flushing, NY 11365 2017-06-29
1811427941 Jong M Lee Acupuncturist 6020b 194th St Apt 3b, Fresh Meadows, NY 11365 2017-06-12
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770918682 Robert Savitt Social Worker 176-16 76th Avenue, Fresh Meadows, NY 11366 2013-09-10
1568616639 Angel Louis Cuevas Social Worker 7575 184th St, Fresh Meadows, NY 11366-1714 2008-11-15
1992915763 Sybil Durina Nurse-reeves Social Worker 61-43 186th Street, Fresh Meadows, NY 11365 2007-05-23
1336217397 Mitchell Berk Social Worker 18417 Union Tpke, Fresh Meadows, NY 11366-1729 2006-11-30
1942375829 Julie Hilary Abada Social Worker 17016 77th Rd, Fresh Meadows, NY 11366-1302 2006-11-23
1639705353 Donald J Decker Social Worker 7810 164th St, Fresh Meadows, NY 11366-1229 2020-03-13
1609428770 Vibrant Women Wellness Counseling, Lcsw, Pllc Social Worker 7580 184th St, Fresh Meadows, NY 11366-1715 2019-07-09
1831756774 Graceann Corp Social Worker 15916 Union Tpke, Ste 325, Fresh Meadows, NY 11366-1963 2019-05-28
1003368879 Ayelet P Goldberg, Lcsw, Pllc Social Worker 6143 186th St Ste 312, Fresh Meadows, NY 11365-2710 2016-10-27
1619323920 Ana Artiga Social Worker 6725 188th St, Fresh Meadows, NY 11365-3767 2016-05-05
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Competitor

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City FRESH MEADOWS
Zip Code 11365

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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