Mr Jose Antonio Rodriguez, is a
Social Worker - Clinical based in Moreno Valley, California. Mr Jose Antonio Rodriguez is licensed to practice in California (license number LCSW94079) and his current practice location is
12625 Heacock St, Moreno Valley, California. He can be reached at his office (for appointments etc.) via phone at
(951) 486-7948.
NPI number for Mr Jose Antonio Rodriguez is 1033585021 and his current mailing address is 12625 Heacock St, Moreno Valley, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1033585021.
Healthcare Provider's Profile
| Full Name | Mr Jose Antonio Rodriguez |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 12625 Heacock St, Moreno Valley, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1033585021
- Provider Enumeration Date: 08/13/2015
- Last Update Date: 05/18/2021
Medical Identifiers
Medical identifiers for Mr Jose Antonio Rodriguez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1033585021 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 72189 (California) | Secondary |
| 225400000X | Rehabilitation Practitioner | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW94079 (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. Mr Jose Antonio 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 |
|---|
Mr Jose Antonio Rodriguez,
12625 Heacock St,
Moreno Valley, CA 92553-0538
Ph: (951) 486-7948 | Mr Jose Antonio Rodriguez,
12625 Heacock St,
Moreno Valley, CA 92553-0538
Ph: (951) 486-7948 |
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