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JACQUELINE WILMA RODRIGUEZ
NPI 1225913627
Social Worker - Clinical in Newark, NJ

Active since August 06, 2025PECOS Enrolled

NPPES record last updated: February 13, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Jacqueline Wilma Rodriguez NPPES

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

JACQUELINE WILMA RODRIGUEZ (NPI 1225913627) is an individual clinical provider in Newark, New Jersey, licensed in New Jersey (44SC06566300) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in West Orange, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1225913627
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJACQUELINE WILMA RODRIGUEZ
Location Address24 PECK AVENewark, NJ 07107-1720
Mailing Address24 Peck AveNewark, NJ 07107-1720 · (973) 986-0825
Phone(973) 986-0825
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 6, 2025
Last NPPES UpdateFebruary 13, 2026
NPPES CertifiedFebruary 13, 2026
✔ NPI 1225913627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NJ · 44SC06566300
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.
24 PECK AVE, Newark, NJ 07107
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Secondary Practice Location 1

Location 1366 Main StWest Orange, NJ 07052-5792 · Phone (973) 986-0825

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID1759868482
PECOS Enrollment IDI20260123000791
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 07107 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 $63.84 – $190.92
Typical copayment $0.00 (range $15.96 – $47.73)
Most-billed visit code NA
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
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 Jacqueline Rodriguez's NPI number?

The NPI number for Jacqueline Rodriguez is 1225913627. It was assigned to this individual provider in the NPPES registry on August 6, 2025.

Where is Jacqueline Rodriguez located?

Jacqueline Rodriguez practices at 24 Peck Ave, Newark, NJ 07107. The listed phone number is (973) 986-0825.

What is Jacqueline Rodriguez's specialty?

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

Is Jacqueline Rodriguez enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jacqueline Rodriguez was last updated on February 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.