Provider Demographics
NPI:1467614453
Name:RODRIGUEZ, CLARA ISABEL (LCSW-R)
Entity Type:Individual
Prefix:MRS
First Name:CLARA
Middle Name:ISABEL
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:MS
Other - First Name:CLARA
Other - Middle Name:ISABEL
Other - Last Name:CERDA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:481 MAIN ST STE 403
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10801-6360
Mailing Address - Country:US
Mailing Address - Phone:914-355-2440
Mailing Address - Fax:914-235-0822
Practice Address - Street 1:481 MAIN ST STE 403
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-6360
Practice Address - Country:US
Practice Address - Phone:914-355-2440
Practice Address - Fax:914-235-0822
Is Sole Proprietor?:No
Enumeration Date:2008-06-30
Last Update Date:2010-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0767721041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical