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MR. MICHAEL JORDY RODRIGUEZ LCSW
NPI 1013466366
Social Worker - Clinical in Fresh Meadows, NY

Active since September 28, 2016PECOS Enrolled
4828 196TH PL, FRESH MEADOWS, NY 11365(917) 224-1245 Get Directions Write a Review

NPPES record last updated: June 19, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 19, 2018, Sep 28, 2016 (2 updates tracked since 2016).

About Mr. Michael Jordy Rodriguez Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MICHAEL JORDY RODRIGUEZ LCSW (NPI 1013466366) is an individual clinical provider in Fresh Meadows, New York, licensed in New York (086539) and active in the NPI registry since September 2016. He is enrolled in Medicare PECOS and is a graduate of University Of Missouri, Columbia School Of Medicine (2013).

NPPES Registry Identity

NPI1013466366
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. MICHAEL JORDY RODRIGUEZCredential: LCSW
Location Address4828 196TH PLFresh Meadows, NY 11365
Mailing Address4828 196th PlFresh Meadows, NY 11365-1321 · (917) 224-1245
Phone(917) 224-1245
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 2013
Enumeration DateSeptember 28, 2016
Last NPPES UpdateJune 19, 20182 updates tracked since enumeration
✔ NPI 1013466366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · 086539
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.
Also ListedSocial WorkerTaxonomy 104100000X · License 090124 (NY)
4828 196TH PL, Fresh Meadows, NY 11365
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Michael Jordy Rodriguez Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9830446681
PECOS Enrollment IDI20180725000033
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Michael Rodriguez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

New York Psychotherapy And Counseling Center
6.3 mi
Community/Behavioral Health
17620 148TH AVE
Jamaica, NY 11434
  • Reassigned Medicare billing, New York enrollment
  • 249 clinicians in this Medicare group
NPI 1902811342 (718) 553-1100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11365 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $67.00 – $201.98
Typical copayment $0.00 (range $16.75 – $50.49)
Most-billed visit code NA
Established Patient
$82.96 typical visit price
range $21.62 – $163.52
Typical copayment $20.74 (range $5.40 – $40.88)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Rodriguez's NPI number?

The NPI number for Michael Rodriguez is 1013466366. It was assigned to this individual provider in the NPPES registry on September 28, 2016.

Where is Michael Rodriguez located?

Michael Rodriguez practices at 4828 196th Pl, Fresh Meadows, NY 11365. The listed phone number is (917) 224-1245.

What is Michael Rodriguez's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Michael Rodriguez enrolled in Medicare?

Yes. Michael Rodriguez is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Michael Rodriguez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Rodriguez reassigns Medicare benefits to New York Psychotherapy And Counseling Center (Jamaica, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Rodriguez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Michael Rodriguez was last updated on June 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.