Jasmine Rodriguez | Staten Island, NY • PECOS Search

Jasmine Rodriguez

Social Worker

Behavioral Health & Social Service Providers

831 Van Duzer St, Staten Island, NY 10304-1874

PECOS Enrollment

Based on the most recent information from CMS, provider Jasmine Rodriguez does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 34 days ago.

Profile Details

Provider ID
1174490262
Provider Type
Individual
Full Name
Rodriguez, Jasmine
Gender
Female

Sole Proprietor
Yes
Enumeration Date
10/22/2025
Last Updated
10/22/2025

Contact Information

Practice Location

831 Van Duzer St, Staten Island, NY 10304-1874

(347) 440-6878

Mailing Location

308 Magnolia Ave, Elizabeth, NJ 07206-1913

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 104100000X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 128310 New York