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

Kristy Rodriguez

Individual provider Social Worker · NPI 1922763119

Kristy Rodriguez is a Clinical Social Worker in Brooklyn, New York. Qualified in 2025, 1 year ago. Works from 2 locations. Licensed in New York.

Years since qualifying
1
Licensed in
NY
In the registry since
2021
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Practice location Address checks out

12 Park St Lowr Level
Brooklyn, NY 11206-4541
Phone: (718) 963-4430
Fax: (646) 398-2794
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 28 Debevoise St, Brooklyn, NY 11206 — (718) 963-4430

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 111983 (NY)

Record details

NPI number1922763119
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 3, 2021
Last updated in NPPESMarch 13, 2026
Certification dateMarch 13, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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