RODRIGO FERNANDO VILLEGAS (LCSW) – Social Worker, NPI 1134769615

RODRIGO FERNANDO VILLEGAS (LCSW) is a healthcare provider. based in North haven, Connecticut. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 4892 (CT). The NPI Number for RODRIGO FERNANDO VILLEGAS (LCSW) is 1134769615

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
RODRIGO FERNANDO VILLEGAS (LCSW)
NPI
1134769615
Phone
(914) 819-8115
Address
100 STATE ST APT 129
Enumeration Date
13 January 2020
Last Update Date
4 March 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8603847056
Graduation Year
2019 (7 years ago)
PAC ID
5496231417
Group Practice PAC ID
7618239393
Professional Enrollment ID
I20260109000941
Address ID
CT064791645PL966XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

2,153 CLINICAL SOCIAL WORKER in CT

Provider Addresses for RODRIGO FERNANDO VILLEGAS (LCSW)

  • 100 STATE ST APT 129

    NORTH HAVEN, CT 064732225

    Phone: (914) 819-8115

    Type: Mailing

  • 883 PADDOCK AVE

    MERIDEN, CT 064507044

    Phone: (203) 630-5327

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-01-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20260109000941IClinical Social WorkerCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06473)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7618239393View full group profile
NameSpecialtyState
Nurse PractitionerCT
Clinical Social WorkerCT
Marriage And Family TherapistCT
Clinical Social WorkerCT
Nurse PractitionerCT
Clinical Social WorkerCT
Mental Health CounselorCT
Clinical Social WorkerCT
Clinical Social WorkerCT
Clinical Social WorkerNY

Reviews

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Frequently asked questions

Is RODRIGO FERNANDO VILLEGAS (LCSW) listed with a National Provider Identifier?
Yes — RODRIGO FERNANDO VILLEGAS (LCSW) has NPI 1134769615 on file in the registry.
Active or inactive — what applies to RODRIGO FERNANDO VILLEGAS (LCSW)?
You should see RODRIGO FERNANDO VILLEGAS (LCSW) as active in CMS-hosted NPPES data.
What kind of doctor is RODRIGO FERNANDO VILLEGAS (LCSW)?
RODRIGO FERNANDO VILLEGAS (LCSW) is associated with Social Worker in the directory — Clinical services aligned with this taxonomy classification.
Is RODRIGO FERNANDO VILLEGAS (LCSW) located near North Haven?
RODRIGO FERNANDO VILLEGAS (LCSW) currently maps to North Haven, Connecticut in this extract.
Can I trust this NPI listing for RODRIGO FERNANDO VILLEGAS (LCSW)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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