LISETTE RODRIGUEZ
NPI 1396121687
Social Worker in Manchester, CT

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: November 01, 2026.

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
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

Secondary Practice Location 1

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

Accepted Insurance

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Lisette Rodriguez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
444 CENTER ST, 3RD FLOOR
Manchester, CT 06040
  • Reassigned Medicare billing, Connecticut enrollment
  • 75 clinicians in this Medicare group
Adult Mental Health
2 WATERSIDE XING STE 401
Windsor, CT 06095
  • Reassigned Medicare billing, Connecticut enrollment
  • 227 clinicians in this Medicare group

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

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.

Social Worker
444 CENTER ST
MANCHESTER, CT 06040
Social Worker (Clinical)
444 CENTER ST
MANCHESTER, CT 06040
Counselor
444 CENTER ST
MANCHESTER, CT 06040
Counselor
444 CENTER ST
MANCHESTER, CT 06040
Counselor
444 CENTER ST
MANCHESTER, CT 06040
Counselor (Mental Health)
444 CENTER ST
MANCHESTER, CT 06040
Counselor (Professional)
444 CENTER ST
MANCHESTER, CT 06040
Registered Nurse
444 CENTER ST
MANCHESTER, CT 06040

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 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.

Where is Lisette Rodriguez located?

Lisette Rodriguez practices at 444 Center St, Manchester, CT 06040. The listed phone number is (860) 646-3888.

What is Lisette Rodriguez's specialty?

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

Is Lisette Rodriguez enrolled in Medicare?

Yes. Lisette Rodriguez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Lisette Rodriguez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisette Rodriguez reassigns Medicare benefits to 2 organizations: First Choice Health Centers, Inc. (Manchester, CT) and Community Health Resources, Inc (Windsor, CT). Each 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 Lisette Rodriguez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisette Rodriguez accept?

Health plans from Anthem Blue Cross and Blue Shield list Lisette Rodriguez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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.