LISETTE RODRIGUEZ
NPI 1396121687
Social Worker in Manchester, CT

Q: What is Lisette Rodriguez's NPI number?

The NPI number for Lisette Rodriguez is 1396121687. It was assigned to this individual provider in the NPPES registry on August 10, 2015.

Q: What is Lisette 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 Lisette Rodriguez was last updated on June 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since August 10, 2015PECOS EnrolledAccepts Medicare Assignment

444 CENTER ST, MANCHESTER, CT 06040(860) 646-3888 Get Directions Write a Review

NPPES record last updated: June 10, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Lisette Rodriguez NPPES

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

LISETTE RODRIGUEZ (NPI 1396121687) is an individual social worker in Manchester, Connecticut and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Mansfield Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1396121687

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameLISETTE RODRIGUEZ

Location Address444 CENTER STManchester, CT 06040

Mailing Address2 Waterside Xing Ste 401Windsor, CT 06095-1587 · (860) 697-3351 · Fax (860) 731-5536

Phone(860) 646-3888

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateAugust 10, 2015

Last NPPES UpdateJune 10, 2019

✔ NPI 1396121687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

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.

Also ListedCounselorTaxonomy 101Y00000X

444 CENTER ST, Manchester, CT 06040

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Secondary Practice Location 1

Location 17B Ledgebrook DrMansfield Center, CT 06250-1664 · Phone (860) 456-0038 · Fax (860) 456-8765

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lisette Rodriguez is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8729470091

PECOS Enrollment IDI20220118001525

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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SYLVESTER ESANGBEDO

Social Worker