Healthcare Provider Details

I. General information

NPI: 1114836616
Provider Name (Legal Business Name): ALEXANDRA RODRIGUEZ MSW, ACSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ALEXANDRA RODRIGUEZ-SANTOYO MSW, ACSW

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2601 S FIGUEROA ST FL 2
LOS ANGELES CA
90007-3254
US

IV. Provider business mailing address

2601 S FIGUEROA ST FL 2
LOS ANGELES CA
90007-3254
US

V. Phone/Fax

Practice location:
  • Phone: 323-940-3616
  • Fax: 424-276-0511
Mailing address:
  • Phone: 323-940-3616
  • Fax: 424-276-0511

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number120654
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: