Individual
JACQUELINE WILMA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24 PECK AVE, NEWARK, NJ 07107-1720
(973) 986-0825
Mailing address
24 PECK AVE, NEWARK, NJ 07107-1720
(973) 986-0825
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC06566300
NJ
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/06/2025
Last updated
02/13/2026
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