Healthcare Provider Details

I. General information

NPI: 1932533213
Provider Name (Legal Business Name): ALICIA RODRIGUEZ PEREZ LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/22/2013
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12830 HESPERIA RD STE A-D
VICTORVILLE CA
92395-7788
US

IV. Provider business mailing address

12830 HESPERIA RD STE A-D
VICTORVILLE CA
92395-7788
US

V. Phone/Fax

Practice location:
  • Phone: 760-684-8999
  • Fax: 760-684-8111
Mailing address:
  • Phone: 760-684-8999
  • Fax: 760-684-8111

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: