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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KELLY RODRIGUEZ
NPI 1760108815
Social Worker - Clinical in Provo, UT

Active since October 19, 2022
5455 N RIVER RUN DR, PROVO, UT 84604(801) 226-2550(801) 226-8298 Get Directions Write a Review

NPPES record last updated: June 25, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelly Rodriguez NPPES

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

KELLY RODRIGUEZ (NPI 1760108815) is an individual clinical provider in Provo, Utah, licensed in Utah (14287288-3502) and active in the NPI registry since October 2022.

NPPES Registry Identity

NPI1760108815
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKELLY RODRIGUEZ
Location Address5455 N RIVER RUN DRProvo, UT 84604-7726
Mailing Address5455 N River Run DrProvo, UT 84604-7726 · (801) 226-2550 · Fax (801) 226-8298
Phone(801) 226-2550
Fax(801) 226-8298
Sole ProprietorNo
Enumeration DateOctober 19, 2022
Last NPPES UpdateJune 25, 2026
NPPES CertifiedJune 25, 2026
✔ NPI 1760108815 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 UT · 14287288-3502
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.
5455 N RIVER RUN DR, Provo, UT 84604
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Other Providers at the Same Location NPPES 4

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

SERAH CAKIR
Behavior Technician
5455 N RIVER RUN DR
PROVO, UT 84604
Utah County (801) 226-2550
LAUREN ELIZABETH COX BRYCE
Behavior Technician
5455 N RIVER RUN DR
PROVO, UT 84604
Utah County (801) 226-2550
LAUREL ANN HILTON SMITH
Social Worker (Clinical)
5455 N RIVER RUN DR
PROVO, UT 84604
Utah County (801) 226-2550
DAKOTA MILLER
Behavior Technician
5455 N RIVER RUN DR
PROVO, UT 84604
Utah County (801) 226-2550

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 Kelly Rodriguez's NPI number?

The NPI number for Kelly Rodriguez is 1760108815. It was assigned to this individual provider in the NPPES registry on October 19, 2022.

Where is Kelly Rodriguez located?

Kelly Rodriguez practices at 5455 N River Run Dr, Provo, UT 84604. The listed phone number is (801) 226-2550.

What is Kelly Rodriguez's specialty?

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

When was this NPI record last updated?

The NPPES record for Kelly Rodriguez was last updated on June 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 54 days 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.