MEDICARE: ANGELINA ARANCIBIA RODRIGUEZ

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	0904020319	VA

General Provider Information

NPI Number	:	1447195003
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELINA ARANCIBIA RODRIGUEZ

Provider Business Mailing Address
First Line	:	501 INDEPENDENCE PKWY STE 300
Second Line	:
City	:	CHESAPEAKE
State	:	VA
Zip	:	23320-5159
Country	:	US
Telephone Number	:	757-202-4102
Fax Number	:	757-296-6082

Provider Business Practice Location Address
First Line	:	501 INDEPENDENCE PKWY STE 300
Second Line	:
City	:	CHESAPEAKE
State	:	VA
Zip	:	23320-5159
Country	:	US
Telephone Number	:	757-202-4102
Fax Number	:	757-296-6082

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

Provider Enumeration Date	:	04/21/2026
Last Update Date	:	04/21/2026

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