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: August 09, 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
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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

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.