| Ms Jessica E Rodriguez, MSW | |
| 
					3751 Pennridge Dr Ste 119, Bridgeton, MO 63044-1244  | |
| (314) 901-3244 | |
| Not Available | 
| Full Name | Ms Jessica E Rodriguez | 
|---|---|
| Gender | Female | 
| Speciality | Social Worker - Clinical | 
| Location | 3751 Pennridge Dr Ste 119, Bridgeton, Missouri | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1528840733 | NPI | - | NPPES | 
| 490132829 | Medicaid | MO | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 2025037327 (Missouri) | Primary | 
| Entity Name | Washington University | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1003856592 PECOS PAC ID: 9830008770 Enrollment ID: O20031211000237  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ms Jessica E Rodriguez, MSW 3751 Pennridge Dr Ste 119, Bridgeton, MO 63044-1244 Ph: (314) 901-3244  | Ms Jessica E Rodriguez, MSW 3751 Pennridge Dr Ste 119, Bridgeton, MO 63044-1244 Ph: (314) 901-3244  | 
Ladawna Elynne Thomas,  Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3482 Hollenberg Dr, Bridgeton, MO 63044 Phone: 314-614-1385  | |
Lisa Cathleen Briz, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3394 Mckelvey Rd, Bridgeton, MO 63044 Phone: 314-209-0900 Fax: 314-209-0912  | |
Lindsay Marie Austin, B.S. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3165 Mckelvey Rd, Bridgeton, MO 63044 Phone: 314-206-3901  | |
Mrs. Sara Lynn Barwinski, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3573 Bostons Farm Dr, Bridgeton, MO 63044 Phone: 314-852-0866 Fax: 314-770-0866  | |
Thanh T. Lo,  Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12355 Depaul Drive, Suite 150, Bridgeton, MO 63044 Phone: 314-344-7101  | |
Kenyawna Danielle Love,  Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3165 Mckelvey Rd, Suite 200, Bridgeton, MO 63044 Phone: 314-206-3900 Fax: 314-206-3708  | |
Mr. David Harlan Yoder, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3165 Mckelvey Rd, Suite 200, Bridgeton, MO 63044 Phone: 314-206-3919 Fax: 314-206-3992  |