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

Individual provider Clinical Social Worker · NPI 1225913627

Jacqueline Wilma Rodriguez is a Clinical Social Worker in Newark, New Jersey. Qualified in 2021, 5 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in New Jersey.

Years since qualifying
5
Licensed in
NJ
In the registry since
2025
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Practice location Address checks out

24 Peck Ave
Newark, NJ 07107-1720
Phone: (973) 986-0825
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 366 Main St, West Orange, NJ 07052-5792 — (973) 986-0825

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 44SC06566300 (NJ)

Record details

NPI number1225913627
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 6, 2025
Last updated in NPPESFebruary 13, 2026
Certification dateFebruary 13, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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