Individual
ALICIA V RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
212 CALLA ST, PROVIDENCE, RI 02905-1428
(401) 340-7500
Mailing address
212 CALLA ST, PROVIDENCE, RI 02905-1428
(401) 376-3093
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
9327-C
NV
104100000X
Social Worker
CSW02347
RI
1041C0700X
Clinical Social Worker
Primary
ISW03442
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487206199
—
RI
Enumeration date
07/12/2019
Last updated
12/18/2024
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