Individual
MELISSA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4900 BROADWAY, GARY, IN 46408-4605
(219) 237-5170
(219) 321-1931
Mailing address
30 W MONROE ST STE 1200, CHICAGO, IL 60603-2420
(312) 733-9730
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33006355A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100163580
—
IN
Enumeration date
11/15/2012
Last updated
02/27/2025
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