Lucely D Rodriguez, - Medicare Clinical Social Worker in North Providence, RI

Lucely D Rodriguez, is a medicare enrolled "Social Worker - Clinical" provider in North Providence, Rhode Island. Her current practice location is 6 Utter St, North Providence, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 376-3097.

Lucely D Rodriguez is licensed to practice in Rhode Island (license number ISW03495) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1093160558.

Contact Information

Lucely D Rodriguez,
6 Utter St,
North Providence, RI 02904-5324
(401) 376-3097
Not Available



Healthcare Provider's Profile

Full NameLucely D Rodriguez
GenderFemale
SpecialitySocial Worker - Clinical
Location6 Utter St, North Providence, Rhode Island
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1093160558
  • Provider Enumeration Date: 05/03/2016
  • Last Update Date: 02/10/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0941598767
  • Enrollment ID: I20161011002640

Medical Identifiers

Medical identifiers for Lucely D Rodriguez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093160558NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical ISW03495 (Rhode Island)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Lucely D Rodriguez allows following entities to bill medicare on her behalf.
Entity NameClear Space Mh, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740918028
PECOS PAC ID: 1850762840
Enrollment ID: O20230131000808

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lucely D Rodriguez is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lucely D Rodriguez,
555 N Main St # 1171,
Providence, RI 02904-5722

Ph: (401) 376-3093
Lucely D Rodriguez,
6 Utter St,
North Providence, RI 02904-5324

Ph: (401) 376-3097

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Social Worker in North Providence, RI

Christine L Constantineau, CSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 200 High Service Ave, North Providence, RI 02904
Phone: 401-456-3000    
Mandy Lecomte, LICSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 35 Dorman Avenue, North Providence, RI 02904
Phone: 401-263-2885    
Erin Lemre, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 420 Fruit Hill Ave, North Providence, RI 02911
Phone: 401-353-3900    Fax: 401-354-7986
Mrs. Mara Rosa Olink, MSW, LICSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 420 Fruit Hill Ave, North Providence, RI 02911
Phone: 401-353-3900    Fax: 401-784-3549
Melissa Quinn Roy,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 420 Fruit Hill Ave, North Providence, RI 02911
Phone: 401-353-3900    
Marisol Zamudio Campbell,
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 33 Maple St, North Providence, RI 02911
Phone: 401-519-1940    

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