Mr Jose Rodriguez, LCSW is a
Social Worker - Clinical based in Menasha, Wisconsin. Mr Jose Rodriguez is licensed to practice in Wisconsin (license number 1883) and his current practice location is
1478 Kenwood Dr, Suite 1, Menasha, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(920) 886-9319.
NPI number for Mr Jose Rodriguez is 1699216580 and his current mailing address is 410 W 10th Ave, P. O. Box 2145, Oshkosh, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1699216580.
Healthcare Provider's Profile
| Full Name | Mr Jose Rodriguez |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
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| Location | 1478 Kenwood Dr, Menasha, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1699216580
- Provider Enumeration Date: 03/13/2017
- Last Update Date: 03/13/2017
Medical Identifiers
Medical identifiers for Mr Jose Rodriguez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699216580 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 12601 (Wisconsin) | Secondary |
| 101YP2500X | Counselor - Professional | 278 (Wisconsin) | Secondary |
| 1041C0700X | Social Worker - Clinical | 1883 (Wisconsin) | Primary |
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 Jose Rodriguez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Jose Rodriguez, LCSW
410 W 10th Ave, P. O. Box 2145,
Oshkosh, WI 54903-2145
Ph: (920) 886-9319 | Mr Jose Rodriguez, LCSW
1478 Kenwood Dr, Suite 1,
Menasha, WI 54952-1161
Ph: (920) 886-9319 |
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