AMANDA RODRIGUES (LICSW) – Clinical Social Worker, NPI 1386210201

AMANDA RODRIGUES (LICSW) is a healthcare provider. based in East boston, Massachusetts. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. LICSW127382 (MA). The NPI Number for AMANDA RODRIGUES (LICSW) is 1386210201

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA RODRIGUES (LICSW)
NPI
1386210201
Phone
(857) 258-7768
Address
312 BREMEN ST APT 2
Enumeration Date
1 June 2021
Last Update Date
23 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8884542439
Graduation Year
2020 (6 years ago)
PAC ID
1951745553
Group Practice PAC ID
2163886912
Professional Enrollment ID
I20240222002332
Address ID
MA021142509BO100XXSTXX302
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

4,194 CLINICAL SOCIAL WORKER in MA

Provider Addresses for AMANDA RODRIGUES (LICSW)

  • 312 BREMEN ST APT 2

    EAST BOSTON, MA 021284012

    Phone: (857) 258-7768

    Type: Mailing

  • 100 CAMBRIDGE ST FL 14

    BOSTON, MA 021142509

    Phone: (617) 861-4958

    Type: Location

  • 960 MASSACHUSETTS AVE

    FL 2

    BOSTON, MA 02118

    Phone:

    Type: Mailing

  • 1 BOSTON MEDICAL CTR PL

    BOSTON, MA 021182908

    Phone: (617) 414-5245

    Fax: (617) 414-5520

    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: 2024-02-22

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
I20240222002332IClinical Social WorkerMATBD

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 02128)

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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: 2163886912View full group profile
NameSpecialtyState
Clinical Social WorkerMA
Clinical Social WorkerMA
Mental Health CounselorMA
Clinical Social WorkerMA
Mental Health CounselorMA

Reviews

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Frequently asked questions

Does AMANDA RODRIGUES (LICSW) have a public NPI I can cite?
Public records show AMANDA RODRIGUES (LICSW) under NPI 1386210201.
Does the public listing show AMANDA RODRIGUES (LICSW) as active?
AMANDA RODRIGUES (LICSW)'s NPI record reflects an active status in NPPES.
What type of care does AMANDA RODRIGUES (LICSW) provide?
AMANDA RODRIGUES (LICSW)'s profile centers on Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Which community is linked to AMANDA RODRIGUES (LICSW)?
AMANDA RODRIGUES (LICSW) shows a connection to East Boston, Massachusetts in registry-derived data.
Why is information missing for AMANDA RODRIGUES (LICSW)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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