Provider Demographics
NPI:1235876152
Name:RODRIGUEZ BARCO, SOILENA DE LA CARIDAD (MSW)
Entity Type:Individual
Prefix:
First Name:SOILENA
Middle Name:DE LA CARIDAD
Last Name:RODRIGUEZ BARCO
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3706 APPALOOSA RD
Mailing Address - Street 2:
Mailing Address - City:LAKE WALES
Mailing Address - State:FL
Mailing Address - Zip Code:33898-9620
Mailing Address - Country:US
Mailing Address - Phone:407-879-0633
Mailing Address - Fax:
Practice Address - Street 1:600 N BROADWAY AVE
Practice Address - Street 2:
Practice Address - City:BARTOW
Practice Address - State:FL
Practice Address - Zip Code:33830-3819
Practice Address - Country:US
Practice Address - Phone:863-414-6959
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-13
Last Update Date:2022-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health