Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kimberly Alexandra Rodriguez, LCSW136501

Individual provider Mental Health Counselor · NPI 1740689827

Kimberly Alexandra Rodriguez, LCSW136501 is a Clinical Social Worker in San Diego, California. Qualified in 2017, 9 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Years since qualifying
9
Licensed in
CA
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

3838 Camino Del Rio N Ste 225
San Diego, CA 92108-1763
Phone: (619) 736-7380
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • Po Box 547, Temecula, CA 92593-0547 — (951) 836-7648

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LCSW136501 (CA)
Clinical Social Worker Taxonomy 1041C0700X · Licence LCSW136501 (CA)

Record details

NPI number1740689827
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW136501
Sole proprietorYes
NPI enumeratedAugust 14, 2014
Last updated in NPPESMarch 23, 2026
Certification dateMarch 23, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in San Diego