Individual
FREDDIE VAZQUEZ-RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CASAC-G, LCSW (RI)
Contact information
Practice address
19 UNION SQ W, FLOOR 7, NEW YORK, NY 10003-3304
(212) 627-9600
(212) 627-4040
Mailing address
9610 57TH AVE APT ROME2J, CORONA, NY 11368-3436
(917) 804-6987
(917) 804-6987
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
19114
NY
104100000X
Social Worker
150.112973
IL
104100000X
Social Worker
8673
CT
1041C0700X
Clinical Social Worker
CSW03457
RI
Other
Enumeration date
02/20/2014
Last updated
07/29/2025
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