MEDICARE: SONIA RODRIGUEZ LLC

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

General Provider Information

NPI Number	:	1750242616
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SONIA RODRIGUEZ LLC

Provider Business Mailing Address
First Line	:	1021 PENN AVE UNIT 6052
Second Line	:
City	:	READING
State	:	PA
Zip	:	19610-4813
Country	:	US
Telephone Number	:	484-509-1412
Fax Number	:

Provider Business Practice Location Address
First Line	:	2802 KINGSTON DR
Second Line	:
City	:	SINKING SPRING
State	:	PA
Zip	:	19608-1677
Country	:	US
Telephone Number	:	484-509-1412
Fax Number	:

Authorized Official
Title or Position	:	CLINICAL SOCIAL WORKER
Name	:	SONIA RODRIGUEZ
Credential	:	LCSW
Telephone Number	:	484-509-1412

Provider Enumeration Date	:	11/20/2025
Last Update Date	:	04/08/2026

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