KEVYN RODRIGUEZ
NPI 1124611926
Social Worker in New York, NY

Q: What is Kevyn Rodriguez's NPI number?

The NPI number for Kevyn Rodriguez is 1124611926. It was assigned to this individual provider in the NPPES registry on February 12, 2021.

Q: What is Kevyn Rodriguez's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Kevyn Rodriguez was last updated on April 4, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 12, 2021PECOS Enrolled

356 W 18TH ST, NEW YORK, NY 10011(212) 271-7200 Get Directions Write a Review

NPPES record last updated: April 4, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 4, 2025, Feb 12, 2021 (2 updates tracked since 2021).

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About Kevyn Rodriguez NPPES

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

KEVYN RODRIGUEZ (NPI 1124611926) is an individual social worker in New York, New York, licensed in New York (098222-01) and active in the NPI registry since February 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in New York, and is a graduate of Fordham University School Of Medicine (2018).

NPPES Registry Identity

NPI1124611926

Entity TypeIndividualMale

Primary Taxonomy104100000X

Provider Legal NameKEVYN RODRIGUEZ

Location Address356 W 18TH STNew York, NY 10011-4401

Mailing Address255 Fort Washington Ave Apt 1New York, NY 10032-1253 · (860) 840-9458

Phone(212) 271-7200

Sole ProprietorYes

Medical School CMSFordham University School Of MedicineGraduated 2018

Enumeration DateFebruary 12, 2021

Last NPPES UpdateApril 4, 20252 updates tracked since enumeration

NPPES CertifiedApril 4, 2025

✔ NPI 1124611926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in NY · 098222-01

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

356 W 18TH ST, New York, NY 10011

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Secondary Practice Location 1

Location 1401 W 47th St Apt 17New York, NY 10036-2335 · Phone (860) 840-9458

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kevyn Rodriguez is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7719455088

PECOS Enrollment IDI20260505002334

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.

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