Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Harold Jackson Ayala Rodriguez

Individual provider Clinical Social Worker · NPI 1922691914

Harold Jackson Ayala Rodriguez is a Clinical Social Worker in Worcester, Massachusetts. Qualified in 2019, 7 years ago. Practices as a sole proprietor. Licensed in Massachusetts.

Years since qualifying
7
Licensed in
MA
In the registry since
2021
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Practice location Address checks out

25 Union St Ste 3
Worcester, MA 01608-1141
Phone: (413) 326-6641
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCSW229300 (MA)

Record details

NPI number1922691914
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 19, 2021
Last updated in NPPESNovember 7, 2023
Certification dateNovember 7, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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