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NPI Code Detail

MEDICARE: BEATRIZ A. RODRIGUEZ LCSW

MEDICARE: BEATRIZ A. RODRIGUEZ LCSW
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
1101YM0800XMental Health CounselorACSW 24891CA
21041C0700XClinical Social WorkerLCSW 59605CA
31041C0700XClinical Social Worker6747-CNV

General Provider Information

NPI Number : 1366640419
Entity Type Code : Individual
Provider Name (Legal Business Name) : BEATRIZ A. RODRIGUEZ LCSW
Provider Business Mailing Address
First Line : 7040 LAREDO ST STE K
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-3044
Country : US
Telephone Number : 707-331-4874
Fax Number : 702-446-8034
Provider Business Practice Location Address
First Line : 7040 LAREDO ST STE K
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-3044
Country : US
Telephone Number : 707-331-4874
Fax Number : 707-446-8034
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2007
Last Update Date : 12/21/2018

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