MRS. REBECCA WINTER RODRIGUEZ (LCSW) – Clinical Social Worker, NPI 1134099211

MRS. REBECCA WINTER RODRIGUEZ (LCSW) is a healthcare provider. based in Melville, New York. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 073794 (NY). The NPI Number for MRS. REBECCA WINTER RODRIGUEZ (LCSW) is 1134099211

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
MRS. REBECCA WINTER RODRIGUEZ (LCSW)
NPI
1134099211
Phone
(631) 323-6872
Address
275 BROADHOLLOW RD STE 120
Enumeration Date
5 November 2025
Last Update Date
6 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8452795908
Graduation Year
2000 (26 years ago)
PAC ID
4284110214
Group Practice PAC ID
4385530351
Professional Enrollment ID
I20260109001216
Address ID
NY117474863ME275XXRDXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

7,009 CLINICAL SOCIAL WORKER in NY

Provider Addresses for MRS. REBECCA WINTER RODRIGUEZ (LCSW)

  • 275 BROADHOLLOW RD STE 120

    MELVILLE, NY 117474863

    Phone: (631) 323-6872

    Fax: (631) 918-5768

    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: 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
I20260109001216IClinical Social WorkerNYTBD

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 11747)

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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: 4385530351View full group profile
NameSpecialtyState
Clinical Social WorkerNY
Mental Health CounselorNY
-NY
-NY
-NY
Mental Health CounselorNY
-NY
Mental Health CounselorNY
Clinical Social WorkerNY
P S Y C H I A T R YNY

Reviews

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Frequently asked questions

How do payers reference MRS. REBECCA WINTER RODRIGUEZ (LCSW)?
For MRS. REBECCA WINTER RODRIGUEZ (LCSW), use NPI 1134099211 as the unique 10-digit identifier.
Would MRS. REBECCA WINTER RODRIGUEZ (LCSW) appear as active to a payer?
You can treat MRS. REBECCA WINTER RODRIGUEZ (LCSW) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for MRS. REBECCA WINTER RODRIGUEZ (LCSW)?
At a glance, MRS. REBECCA WINTER RODRIGUEZ (LCSW) is tied to Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Is MRS. REBECCA WINTER RODRIGUEZ (LCSW) located near Melville?
MRS. REBECCA WINTER RODRIGUEZ (LCSW) currently maps to Melville, New York in this extract.
Does MRS. REBECCA WINTER RODRIGUEZ (LCSW) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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