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RANDY RODRIQUEZ
NPI 1932660289
Social Worker - Clinical in Idaho Falls, ID

Active since March 28, 2019
150 SHOUP AVE STE 17, IDAHO FALLS, ID 83402(208) 528-5700(208) 528-4747 Get Directions Write a Review

NPPES record last updated: March 28, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Randy Rodriquez NPPES

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

RANDY RODRIQUEZ (NPI 1932660289) is an individual clinical provider in Idaho Falls, Idaho, licensed in Idaho (1083) and active in the NPI registry since March 2019.

NPPES Registry Identity

NPI1932660289
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameRANDY RODRIQUEZ
Location Address150 SHOUP AVE STE 17Idaho Falls, ID 83402-3653
Mailing Address150 Shoup Ave Ste 17Idaho Falls, ID 83402-3653 · (208) 528-5700 · Fax (208) 528-4747
Phone(208) 528-5700
Fax(208) 528-4747
Sole ProprietorNo
Enumeration DateMarch 28, 2019
✔ NPI 1932660289 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 ID · 1083
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.

150 SHOUP AVE STE 17, Idaho Falls, ID 83402
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Other Providers at the Same Location NPPES 7

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

TIFFANY CHRISTIANSEN PA
Physician Assistant
150 SHOUP AVE STE 17
IDAHO FALLS, ID 83402
Bonneville County (208) 528-5892
TRINA NICHOLSON LMSW
Social Worker (Clinical)
150 SHOUP AVE STE 17
IDAHO FALLS, ID 83402
Bonneville County (208) 582-5700
KAREN BAILEY LCSW
Social Worker (Clinical)
150 SHOUP AVE STE 17
IDAHO FALLS, ID 83402
Bonneville County (208) 528-5743
MRS. MONICA MARTIN LCSW
Social Worker (Clinical)
150 SHOUP AVE STE 17
IDAHO FALLS, ID 83402
Bonneville County (208) 528-5733
SHANYL ROBINSON
Social Worker
150 SHOUP AVE STE 17
IDAHO FALLS, ID 83402
Bonneville County (208) 528-5704
LESLEE ROMRELL MARTIN
Social Worker (Clinical)
150 SHOUP AVE STE 17
IDAHO FALLS, ID 83402
Bonneville County (208) 528-5929
MS. BETHANY LYNN LEDBETTER BLANK LMSW
Social Worker
150 SHOUP AVE STE 17
IDAHO FALLS, ID 83402
Bonneville County (208) 528-5956

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 Randy Rodriquez's NPI number?

The NPI number for Randy Rodriquez is 1932660289. It was assigned to this individual provider in the NPPES registry on March 28, 2019.

Where is Randy Rodriquez located?

Randy Rodriquez practices at 150 Shoup Ave Ste 17, Idaho Falls, ID 83402. The listed phone number is (208) 528-5700.

What is Randy Rodriquez'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 Randy Rodriquez was last updated on March 28, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.