KIMBERLY ALEXIS RODRIGUEZ LCSW
NPI 1477017028
Social Worker - Clinical in Waterbury, CT

Q: What is Kimberly Rodriguez's NPI number?

The NPI number for Kimberly Rodriguez is 1477017028. It was assigned to this individual provider in the NPPES registry on January 29, 2019.

Q: What is Kimberly Rodriguez's specialty?

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

Active since January 29, 2019PECOS Enrolled

51 N ELM ST, WATERBURY, CT 06702(203) 574-4000(203) 574-4003 Get Directions Write a Review

NPPES record last updated: September 9, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 9, 2025, Jan 29, 2019 (2 updates tracked since 2019).

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About Kimberly Alexis Rodriguez Lcsw NPPES

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

KIMBERLY ALEXIS RODRIGUEZ LCSW (NPI 1477017028) is an individual clinical provider in Waterbury, Connecticut, licensed in Connecticut (12410) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in New Britain.

NPPES Registry Identity

NPI1477017028

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameKIMBERLY ALEXIS RODRIGUEZCredential: LCSW

Location Address51 N ELM STWaterbury, CT 06702-1545

Mailing Address19 Grand StMiddletown, CT 06457-2705 · (860) 347-6971 · Fax (860) 343-7379

Phone(203) 574-4000

Fax(203) 574-4003

Sole ProprietorNo

Enumeration DateJanuary 29, 2019

Last NPPES UpdateSeptember 9, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 9, 2025

✔ NPI 1477017028 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 CT · 12410

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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

51 N ELM ST, Waterbury, CT 06702

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Secondary Practice Location 1

Location 175 N Mountain RdNew Britain, CT 06053-3468 · Phone (860) 793-3500

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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 Reassignment

Medicare enrollment records show Kimberly Rodriguez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Health Center Inc

20 mi

Federally Qualified Health Center (FQHC)

675 MAIN ST
Middletown, CT 06457

Reassigned Medicare billing, Connecticut enrollment
390 clinicians in this Medicare group

NPI 1952591851 (860) 347-6971

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06702 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 $60.82 – $183.10

Typical copayment $0.00 (range $15.20 – $45.77)

Most-billed visit code NA

Established Patient

$75.55 typical visit price

range $19.76 – $149.26

Typical copayment $18.88 (range $4.94 – $37.31)

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.

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.

SAMANTHA LYNNE NILSSON LCSW

Social Worker (Clinical)