MEDICARE: ELLIE RODRIGUEZ LMSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	1177039-01	NY

General Provider Information

NPI Number	:	1548980246
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELLIE RODRIGUEZ LMSW

Provider Business Mailing Address
First Line	:	1 GATEWAY PLZ STE 3B
Second Line	:
City	:	PORT CHESTER
State	:	NY
Zip	:	10573-4681
Country	:	US
Telephone Number	:	914-240-2241
Fax Number	:	914-937-3183

Provider Business Practice Location Address
First Line	:	1 GATEWAY PLZ STE 3B
Second Line	:
City	:	PORT CHESTER
State	:	NY
Zip	:	10573-4681
Country	:	US
Telephone Number	:	914-240-2241
Fax Number	:	914-937-3183

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/01/2022
Last Update Date	:	09/01/2022

Similar Medicare Providers

1649923152 — PAOLA CADET LMHC
Practice Location Address:

1 GATEWAY PLZ STE 3B
PORT CHESTER, NY
10573-4681

Practice Phone: 914-653-6265
Practice Fax:

1174370423 — JENNIFER K GERMAN LMHC
Practice Location Address:

1 GATEWAY PLZ STE 3B
PORT CHESTER, NY
10573-4681

Practice Phone: 914-240-2241
Practice Fax:

1710720776 — RUBY RIZO MARQUEZ
Practice Location Address:

1 GATEWAY PLZ STE 3B
PORT CHESTER, NY
10573-4681

Practice Phone: 914-305-6891
Practice Fax:

1427902782 — LOREN ROLON
Practice Location Address:

1 GATEWAY PLZ STE 3B
PORT CHESTER, NY
10573-4681

Practice Phone: 914-240-2241
Practice Fax:

1588666796 — R W B CORPORATION
Practice Location Address:

1000 HIGH ST
PORT CHESTER, NY
10573-4402

Practice Phone: 914-937-1200
Practice Fax: 914-937-3425

1568466068 — EASTSIDE ORTHOTICS & PROSTHETICS INC
Practice Location Address:

388 WESTCHESTER AVE , STE 1J
PORT CHESTER, NY
10573-3623

Practice Phone: 914-935-1185
Practice Fax: 914-935-1187

Directions to “ ELLIE RODRIGUEZ LMSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.