RAYSA RODRIGUEZ (LCSW) – Clinical Social Worker, NPI 1407682701

RAYSA RODRIGUEZ (LCSW) is a healthcare provider. based in Fort myers, Florida. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 23561 (FL). The NPI Number for RAYSA RODRIGUEZ (LCSW) is 1407682701

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
RAYSA RODRIGUEZ (LCSW)
NPI
1407682701
Phone
(239) 829-5494
Address
12791 WORLD PLAZA LN BLDG 89
Enumeration Date
12 September 2024
Last Update Date
12 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2398295494
Graduation Year
2022 (4 years ago)
PAC ID
0840722989
Group Practice PAC ID
6204936305
Professional Enrollment ID
I20241015001289
Address ID
FL339073989FO12791LNXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

3,376 CLINICAL SOCIAL WORKER in FL

Provider Addresses for RAYSA RODRIGUEZ (LCSW)

  • 12791 WORLD PLAZA LN BLDG 89

    FORT MYERS, FL 339073989

    Phone: (239) 829-5494

    Mailing address matches the actual address.

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: 2024-10-15

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
I20241015001289IClinical Social WorkerFLTBD

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 33907)

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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: 6204936305View full group profile
NameSpecialtyState
Clinical Social WorkerFL
Clinical PsychologistCO
Clinical PsychologistFL
Clinical Social WorkerFL
Clinical Social WorkerNY
Clinical PsychologistFL
Clinical PsychologistFL
Clinical PsychologistFL

Reviews

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Frequently asked questions

What NPI should I save for RAYSA RODRIGUEZ (LCSW)?
Save NPI 1407682701 if you need a stable reference for RAYSA RODRIGUEZ (LCSW).
Does this profile mean RAYSA RODRIGUEZ (LCSW) is currently active?
Yes — RAYSA RODRIGUEZ (LCSW) appears active in the national provider directory.
What does RAYSA RODRIGUEZ (LCSW) treat or focus on?
Patients typically see RAYSA RODRIGUEZ (LCSW) under the specialty Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where does public data place RAYSA RODRIGUEZ (LCSW)?
The snapshot lists Fort Myers, Florida for RAYSA RODRIGUEZ (LCSW); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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