MEDICARE: EUGENIA PRICE 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
1	1041C0700X	Clinical Social Worker	69493	TX

General Provider Information

NPI Number	:	1992652226
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EUGENIA PRICE RODRIGUEZ LCSW

Provider Business Mailing Address
First Line	:	1501 KNEESE RD
Second Line	:
City	:	FREDERICKSBURG
State	:	TX
Zip	:	78624-7957
Country	:	US
Telephone Number	:	512-522-0106
Fax Number	:

Provider Business Practice Location Address
First Line	:	1904 N LLANO ST
Second Line	:
City	:	FREDERICKSBURG
State	:	TX
Zip	:	78624-2915
Country	:	US
Telephone Number	:	830-997-9756
Fax Number	:

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

Provider Enumeration Date	:	03/16/2026
Last Update Date	:	03/16/2026

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