Individual
MS. LINDA VAN SCIVER RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
1202 MARYLAND AVE, MARYLAND PHYSICIAN HEALTH PROGRAM, BALTIMORE, MD 21201-5512
(410) 962-5580
(410) 962-5583
Mailing address
1202 MARYLAND AVE, MARYLAND PHYSICIAN HEALTH PROGRAM, BALTIMORE, MD 21201-5512
(410) 962-5580
(410) 962-5583
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
16140
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16140
MARYLAND BOARD OF SOCIAL WORK, LCSW-C
MD
Enumeration date
07/23/2013
Last updated
07/23/2013
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