MEDICARE: MANDY J RODRIGUEZ LICSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	LW61129833	WA

General Provider Information

NPI Number	:	1376988246
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MANDY J RODRIGUEZ LICSW

Provider Business Mailing Address
First Line	:	1211 AHTANUM RIDGE DR
Second Line	:
City	:	UNION GAP
State	:	WA
Zip	:	98903-1813
Country	:	US
Telephone Number	:	509-966-0199
Fax Number	:

Provider Business Practice Location Address
First Line	:	1211 AHTANUM RIDGE DR
Second Line	:
City	:	UNION GAP
State	:	WA
Zip	:	98903-1813
Country	:	US
Telephone Number	:	509-966-0199
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/06/2013
Last Update Date	:	01/14/2025

Similar Medicare Providers

1346221660 — JUDITH HERTANU MD
Practice Location Address:

10 UNION SQ E , BETH ISRAEL MED CTR- DEPT OF REHAB MEDICARE
NEW YORK, NY
10003-3314

Practice Phone: 212-420-2757
Practice Fax:

1447214598 — RENAL TREATMENT CENTERS WEST INC
Practice Location Address:

1236 AHTANUM RIDGE DR , AHTANUM RIDGE BUSINESS PARK
UNION GAP, WA
98903-1813

Practice Phone: 509-469-6292
Practice Fax: 509-469-6299

1396142816 — YAKIMA HEALTH DISTRICT
Practice Location Address:

1210 AHTANUM RIDGE DR
UNION GAP, WA
98903-1813

Practice Phone: 509-575-4040
Practice Fax: 509-249-6628

1609304864 — MARY FLACK
Practice Location Address:

1211 AHTANUM RIDGE DR
UNION GAP, WA
98903-1813

Practice Phone: 509-525-5200
Practice Fax:

1457714867 — JESSICA ROWER
Practice Location Address:

898 WAGGONERS GAP RD
CARLISLE, PA
17013-1813

Practice Phone: 717-249-4525
Practice Fax:

1558346965 — DR. JULIANNA MARIA SUTARIK
Practice Location Address:

274 UNION BLVD , SUITE 110
LAKEWOOD, CO
80228-1813

Practice Phone: 303-951-0600
Practice Fax:

Directions to “ MANDY J RODRIGUEZ LICSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.