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NPI Code Detail

MEDICARE: PATRICIA RODRIGUEZ CADC-S, MSW INTERN

MEDICARE:   PATRICIA  RODRIGUEZ  CADC-S, MSW INTERN
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
1101YA0400XAddiction (Substance Use Disorder) Counselor1032NV

General Provider Information

NPI Number : 1114265683
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA RODRIGUEZ CADC-S, MSW INTERN
Provider Business Mailing Address
First Line : 205 S PRATT AVE
Second Line :
City : CARSON CITY
State : NV
Zip : 89701-4730
Country : US
Telephone Number : 775-354-4839
Fax Number :
Provider Business Practice Location Address
First Line : 205 S PRATT AVE
Second Line :
City : CARSON CITY
State : NV
Zip : 89701-4730
Country : US
Telephone Number : 775-787-9411
Fax Number : 775-787-9445
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2013
Last Update Date : 02/05/2026

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Directions to “ PATRICIA RODRIGUEZ CADC-S, MSW INTERN” Practice Location

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