Mr Edwin Rodriguez, LCSW, CASAC-G in Chula Vista, CA

Mr Edwin Rodriguez, LCSW, CASAC-G is a medicare enrolled "Social Worker - Clinical" provider in Chula Vista, California. His current practice location is 1644 Maple Dr, Chula Vista, California. You can reach out to his office (for appointments etc.) via phone at (914) 882-8383.

Mr Edwin Rodriguez is licensed to practice in New York (license number 081404-1) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1053648980.

Contact Information

	Mr Edwin Rodriguez, LCSW, CASAC-G
	1644 Maple Dr, Chula Vista, CA 91911-5930
	(914) 882-8383
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Edwin Rodriguez
Gender	Male
Speciality	Social Worker - Clinical
Location	1644 Maple Dr, Chula Vista, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053648980
Provider Enumeration Date: 11/13/2009
Last Update Date: 03/12/2025

Medicare PECOS Information:

PECOS PAC ID: 9032431713
Enrollment ID: I20141208001851

Medical Identifiers

Medical identifiers for Mr Edwin Rodriguez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053648980	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	081404-1 (New York)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Edwin Rodriguez allows following entities to bill medicare on his behalf.

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20221117000517

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Edwin Rodriguez is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Edwin Rodriguez, LCSW, CASAC-G 1644 Maple Dr, Chula Vista, CA 91911-5930 Ph: (914) 882-8383	Mr Edwin Rodriguez, LCSW, CASAC-G 1644 Maple Dr, Chula Vista, CA 91911-5930 Ph: (914) 882-8383

Reviews and Comments

Social Worker in Chula Vista, CA

Denise Flor Montes, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1800 Maxwell Rd, Chula Vista, CA 91911 Phone: 619-902-2453
Mr. David Myrick, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 353 H St, Chula Vista, CA 91910 Phone: 619-496-9792
Isamar Camille Cortes, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 333 H St Ste 3010, Chula Vista, CA 91910 Phone: 858-576-1700
Danielle Arlene Slomka, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1945 Discovery Falls Dr, Chula Vista, CA 91915 Phone: 619-786-3905
Kelly Zavala, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 272 Church Ave Ste 3, Chula Vista, CA 91910 Phone: 619-737-2989 Fax: 619-737-2998
Mariam Kiara Lowe, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1741 Eastlake Pkwy Ste 102, Pmb #196, Chula Vista, CA 91915 Phone: 619-786-4559

Mr Edwin Rodriguez, LCSW, CASAC-G - Medicare Clinical Social Worker in Chula Vista, CA