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

Kelly Rodriguez

Individual provider Clinical Social Worker · NPI 1760108815

Kelly Rodriguez is a Clinical Social Worker in Provo, Utah. Licensed in Utah. Registered with an NPI since 2022.

Licensed in
UT
In the registry since
2022

Practice location Address checks out

5455 N River Run Dr
Provo, UT 84604-7726
Phone: (801) 226-2550
Fax: (801) 226-8298
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 14287288-3502 (UT)

Record details

NPI number1760108815
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 19, 2022
Last updated in NPPESJune 25, 2026
Certification dateJune 25, 2026
Mailing address5455 N River Run Dr, Provo, UT 84604-7726

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