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

Randy Rodriquez

Individual provider Clinical Social Worker · NPI 1932660289

Randy Rodriquez is a Clinical Social Worker in Idaho Falls, Idaho. Licensed in Idaho. Registered with an NPI since 2019.

Licensed in
ID
In the registry since
2019

Practice location Address checks out

150 Shoup Ave Ste 17
Idaho Falls, ID 83402-3653
Phone: (208) 528-5700
Fax: (208) 528-4747
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 1083 (ID)

Record details

NPI number1932660289
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 28, 2019
Last updated in NPPESMarch 28, 2019

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