Agnes Dawn Rodriguez, PROVISIONAL LISW
NPI 1356579577ActiveIndividual· Social Worker, Clinical· Alamogordo, NM
Social Worker, Clinical (PROVISIONAL LISW) with Blue Sky Counseling Associates, practicing in Alamogordo, New Mexico. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1356579577 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PROVISIONAL LISW |
| Sole proprietor | No |
| NPI issued | Jun 25, 2009 |
| Last updated in NPPES | Jan 24, 2021 |
| Certified by provider | Jan 24, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | I-07111 | NM |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (NM) |
|---|
Education and affiliations
| Graduation year | 2006 |
|---|---|
| Medicare specialty | Clinical Social Worker |
| Telehealth | Offers telehealth |
Medical group
- Blue Sky Counseling AssociatesAlamogordo, NM · 8 clinicians
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