Individual
ANA TERESA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
101 TIMBERLACHEN CIR STE 201, LAKE MARY, FL 32746-6124
(407) 766-2442
Mailing address
101 TIMBERLACHEN CIR STE 201, LAKE MARY, FL 32746-6124
(407) 766-2441
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0904005130
VA
1041C0700X
Clinical Social Worker
Primary
SW10150
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11233998
CAQH
VA
Enumeration date
07/24/2006
Last updated
02/19/2025
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