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

Ricardo Israel Rodriguez

Individual provider Social Worker · NPI 1720594757

Ricardo Israel Rodriguez is a Clinical Social Worker in Provo, Utah. Qualified in 2021, 5 years ago. Works from 9 locations. Licensed in Utah.

Years since qualifying
5
Licensed in
UT
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

151 S University Ave
Provo, UT 84601-4427
Phone: (801) 851-7127
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (8)

  • 770 S 200 E Ste 103, Brigham City, UT 84302-3387 — (801) 477-7189
  • 584 E 12300 S Ste 7, Draper, UT 84020-9256 — (801) 477-7189
  • 3500 Harrison Blvd Ste 200, Ogden, UT 84403-2038 — (801) 477-7189
  • 1221 S Valley Grove Way Ste 160, Pleasant Grove, UT 84062-6758 — (801) 477-7189
  • 333 W 2230 N, Provo, UT 84604-7520 — (801) 477-7189
  • 8789 S Highland Dr Ste 300, Sandy, UT 84093-1605 — (801) 477-7189
  • 4293 S 2700 W Ste 300, Taylorsville, UT 84129-2144 — (801) 477-7189
  • 323 N Main St Ste 101, Tooele, UT 84074-1652 — (801) 477-7189

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 12366411-3502 (UT)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X

Record details

NPI number1720594757
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 28, 2017
Last updated in NPPESDecember 15, 2025
Certification dateDecember 15, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Provo