IESHA RODRIGUEZ (LCSW) – Clinical Social Worker, NPI 1609377159

IESHA RODRIGUEZ (LCSW) is a healthcare provider. based in Lutz, Florida. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. SW17546 (FL). The NPI Number for IESHA RODRIGUEZ (LCSW) is 1609377159

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
IESHA RODRIGUEZ (LCSW)
NPI
1609377159
Phone
(813) 598-3808
Address
1515 Michelin Ct
Enumeration Date
21 February 2018
Last Update Date
4 September 2020

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Secondary Phone
9893628636
Graduation Year
2017 (9 years ago)
PAC ID
6800214339
Group Practice PAC ID
2961485610
Professional Enrollment ID
I20231127000544
Address ID
MI487639681TA1199XAVEX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

3,376 CLINICAL SOCIAL WORKER in FL

Provider Addresses for IESHA RODRIGUEZ (LCSW)

  • 1515 Michelin Ct

    Lutz, FL 335497533

    Phone: (813) 598-3808

    Type: Location

  • 3016 AERNAL CT

    LAND O LAKES, FL 346396312

    Phone: (813) 598-3808

    Type: Mailing

  • 201, East 7th Avenue, Tampa Heights, Tampa, Hillsborough County, Florida, 33602, United States

    TAMPA, FL 336053606

    Phone: (813) 232-3808

    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: 2023-11-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20200916001006IClinical Social WorkerFLTBD
I20231127000544IClinical Social WorkerMITBD

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 33549)

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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: 2961485610View full group profile
NameSpecialtyState
Physician AssistantMI
Physician AssistantMI
Clinical Social WorkerMI
-MI
Physician AssistantMI
Clinical Social WorkerMI
Clinical Social WorkerMO
Physician AssistantMI
Clinical Social WorkerNY
Clinical Social WorkerMI

Reviews

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Frequently asked questions

Does IESHA RODRIGUEZ (LCSW) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — IESHA RODRIGUEZ (LCSW) uses 1609377159.
Can I rely on IESHA RODRIGUEZ (LCSW) being an active provider?
As of the registry snapshot, IESHA RODRIGUEZ (LCSW) is marked active.
What taxonomy line describes IESHA RODRIGUEZ (LCSW)?
For research purposes, treat IESHA RODRIGUEZ (LCSW) as Clinical Social Worker in this dataset. Clinical services aligned with this taxonomy classification.
Where is IESHA RODRIGUEZ (LCSW) based?
IESHA RODRIGUEZ (LCSW) is tied to Lutz, Florida in the data we show; additional addresses may exist on the full record.
Is the information about IESHA RODRIGUEZ (LCSW) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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