JACQUELINE RODRIGUEZ (NPI# 1063784320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063784320 |
Entity Type | Individual |
Full Name | JACQUELINE RODRIGUEZ |
Credential | LCSW |
Practice Address |
4379 Ridgewood Center Dr Suite 4013 Woodbridge VA 22192-8322 |
Practice Telephone | 7036807950 |
Practice Fax Number | 7036807953 |
Mailing Telephone | 7036807950 |
Mailing Fax Number | 7036807953 |
Enumeration Date | 2012-02-02 |
Last Update Date | 2016-03-30 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1041C0700X |
Social Worker Specialization: Clinical |
0904009029 | VA | Behavioral Health & Social Service Providers |
N | 1041C0700X |
Social Worker Specialization: Clinical |
007853 | CT | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477187912 | Jacqueline Rodriguez | Technician/Technologist | 1110 Vuelta De Las Acequias, Santa Fe, NM 87507-7105 | 2020-02-24 |
1316590102 | Jacqueline Rodriguez | Licensed Practical Nurse | 972 Florence Ave, Schenectady, NY 12303-1506 | 2019-07-20 |
1467922161 | Jacqueline Rodriguez | Dietitian, Registered | 4615 Nw 77th Ave, Miami, FL 33166-6449 | 2018-11-26 |
1922532183 | Jacqueline Rodriguez | Physical Therapist | 401 N Canal St, Carlsbad, NM 88220-5873 | 2017-04-14 |
1003288168 | Jacqueline Rodriguez | Counselor | 243 Success Ave, Bridgeport, CT 06610-2429 | 2015-10-28 |
1962725325 | Jacqueline Rodriguez | Social Worker | 17440 Blythe St, Northridge, CA 91325-4420 | 2010-03-12 |
1598831505 | Jacqueline Rodriguez | Nurse Practitioner | 3357 E Gage Ave, Huntington Park, CA 90255-5530 | 2006-11-28 |
1750477691 | Jacqueline Rodriguez | Dentist | Street 156 Km 49 4 Bo Sumidero, Aguas Buenas, PR 00703 | 2006-10-05 |
1790386639 | Jacqueline Rodriguez | Family Medicine | 8400 Nw 33rd St Ste 201, Doral, FL 33122-1937 | 2020-11-06 |
1154949717 | Jacqueline Guadalupe Rodriguez | Specialist/Technologist | 2095 Hillside Rd # U-1110, Storrs, CT 06269-1110 | 2020-07-10 |
Street Address |
4379 RIDGEWOOD CENTER DR SUITE 4013 |
City | WOODBRIDGE |
State | VA |
Zip Code | 22192-8322 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053303651 | Katie Lynne Kotopoulos | Nurse Practitioner | 4379 Ridgewood Center Dr, Suite 102, Woodbridge, VA 22192-8322 | 2005-08-19 |
1356828560 | Mary Hunnicutt | Counselor | 4379 Ridgewood Center Dr, Woodbridge, VA 22192-8322 | 2018-07-20 |
1427400639 | Matthew Lam | Dentist | 4379 Ridgewood Center Dr, Woodbridge, VA 22192-8322 | 2016-07-12 |
1831573575 | Afsaneh Samatha Shahidi | Dentist | 4379 Ridgewood Center Dr, Woodbridge, VA 22192-8322 | 2015-07-13 |
1710360029 | Amber Hasan | Dentist | 4379 Ridgewood Center Dr, Ste 102, Woodbridge, VA 22192-8322 | 2015-07-06 |
1689063687 | Mi-yon Choi | Dentist | 4379 Ridgewood Center Dr, Suite 102, Woodbridge, VA 22192-8322 | 2015-01-13 |
1275974156 | Sheetal Ray | Dentist | 4379 Ridgewood Center Dr, Ste 102, Woodbridge, VA 22192-8322 | 2013-07-09 |
1790125755 | Amparo Lizeth Pinzon Avellaneda | Dentist | 4379 Ridgewood Center Dr, Suite 102, Woodbridge, VA 22192-8322 | 2013-07-04 |
1992053466 | Alvaro Vargas | Counselor | 4379 Ridgewood Center Dr, Suite 102, Woodbridge, VA 22192-8322 | 2012-08-15 |
1972864940 | Anh Ngoc Pham | Physician Assistant | 4379 Ridgewood Center Dr, Suite 102, Woodbridge, VA 22192-8322 | 2012-06-06 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245873645 | Ursula Jackson | Technician | 3500 Commission Ct, Woodbridge, VA 22192 | 2019-10-18 |
1205480779 | Ki Soo Park | Physical Therapy Assistant | 12825 Minnieville Road Suite 201, Lake Ridge, VA 22192 | 2019-08-01 |
1801448329 | Karen Lee Trivett | Specialist/Technologist, Other | 12584 Darby Brook Court, Woodbridge, VA 22192 | 2019-07-15 |
1407313166 | Nichele Amelia Thompson | Behavioral Analyst | 2731 Marblestone Dr, 101, Woodbridge, VA 22192 | 2019-02-28 |
1952877870 | Kimberly Ann Rojas Vazquez | Behavioral Analyst | 12531 Clipper Dr, Suite 203, Woodbridge, VA 22192 | 2018-10-18 |
1104391614 | Ykim Dental | Dentist | 2680 Optiz Blvd., Suite 120, Woodbridge, VA 22192 | 2018-10-11 |
1013418755 | Arm Transport | Non-emergency Medical Transport (VAN) | 13000 Harbor Center Dr Ste 132d, Woodbridge, VA 22192 | 2018-02-27 |
1811496813 | Francesca Nasi | Behavioral Analyst | 12531 Clipper Dr Ste 203, Woodbridge, VA 22192 | 2018-02-05 |
1942729504 | Bismark Transportation Service LLC | Non-emergency Medical Transport (VAN) | 12341 Woodlawn Court, Woodbridge, VA 22192 | 2017-09-14 |
1992226344 | Arm Baby Eldery Home Health LLC | Home Health | 13000 Harbor Center Dr # 312c, Woodbridge, VA 22192 | 2017-07-06 |
Find all providers in zip 22192 |
Taxonomy Code | 1041C0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Social Worker |
Specialization | Clinical |
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] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518568518 | Ruth Ilboudo | Social Worker | 15732 John Diskin Cir, Woodbridge, VA 22191-6550 | 2020-11-05 |
1801409123 | Angel Bartlett | Social Worker | 2357 Brookmoor Ln, Woodbridge, VA 22191-4083 | 2020-08-26 |
1306308234 | Emily Manza | Social Worker | 16012 Indus Dr, Woodbridge, VA 22191-4336 | 2019-04-01 |
1053885707 | Shatiera Monique Amankrah | Social Worker | 3733 Hetten Ln, Woodbridge, VA 22193-1048 | 2019-01-16 |
1922576099 | Paula Dorman | Social Worker | 4001 Prince William Pkwy Ste 300, Woodbridge, VA 22192-7667 | 2018-11-07 |
1417444910 | Mallory Grimste LLC | Social Worker | 30 Hazel Ter Ste 12, Woodbridge, CT 06525-2240 | 2018-04-19 |
1003315391 | Sage Community Counseling LLC | Social Worker | 2239b Tacketts Mill Dr, Woodbridge, VA 22192-3026 | 2018-02-02 |
1568902765 | Tabitha Mann | Social Worker | 12191 Cardamom Dr, Woodbridge, VA 22192-1448 | 2017-03-07 |
1184169765 | Mahogany Lacour | Social Worker | 4197 Windflower Ct, Woodbridge, VA 22193-5100 | 2017-01-05 |
1932655354 | Kayla Marie Lucas | Social Worker | 1 Bradley Rd Ste 404405, Woodbridge, CT 06525-2285 | 2016-08-26 |
Find all providers in WOODBRIDGE |
City | WOODBRIDGE |
Zip Code | 22192 |
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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.