Kathleen Rodriguez, SUDRC #18376 is a
Community Health Worker based in Riverside, California. Kathleen Rodriguez is licensed to practice in California (license number ) and her current practice location is
7344 Magnolia Ave Ste 110, Riverside, California. She can be reached at her office (for appointments etc.) via phone at
(951) 480-0856.
NPI number for Kathleen Rodriguez is 1457191918 and her current mailing address is 7344 Magnolia Ave Ste 110, Riverside, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1457191918.
Healthcare Provider's Profile
| Full Name | Kathleen Rodriguez |
|---|
| Gender | Female |
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| Speciality | Community Health Worker |
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| Location | 7344 Magnolia Ave Ste 110, Riverside, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1457191918
- Provider Enumeration Date: 05/30/2024
- Last Update Date: 12/16/2024
Medical Identifiers
Medical identifiers for Kathleen Rodriguez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457191918 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | 18376 (California) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 18376 (California) | Secondary |
| 171400000X | Health & Wellness Coach | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (California) | Secondary |
| 172V00000X | Community Health Worker | (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kathleen Rodriguez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kathleen Rodriguez, SUDRC #18376
7344 Magnolia Ave Ste 110,
Riverside, CA 92504-3819
Ph: (951) 404-0856 | Kathleen Rodriguez, SUDRC #18376
7344 Magnolia Ave Ste 110,
Riverside, CA 92504-3819
Ph: (951) 480-0856 |
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