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

Raysa Rodriguez, LCSW

Individual provider Clinical Social Worker · NPI 1407682701

Raysa Rodriguez, LCSW is a Clinical Social Worker in Fort Myers, Florida. Qualified in 2022, 4 years ago. Practices with Fort Myers Psychology PA, a 9-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
4
Licensed in
FL
In the registry since
2024
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

12791 World Plaza Ln Bldg 89
Fort Myers, FL 33907-3989
Phone: (239) 829-5494
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 23561 (FL)

Record details

NPI number1407682701
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedSeptember 12, 2024
Last updated in NPPESSeptember 12, 2024
Certification dateSeptember 12, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Fort Myers Psychology Pa — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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