Provider Demographics
NPI:1497916100
Name:RODRIGUEZ, ARMINDA (LCSW)
Entity Type:Individual
Prefix:MS
First Name:ARMINDA
Middle Name:
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5101 SW 60TH STREET RD
Mailing Address - Street 2:APT. 3504
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34474-5793
Mailing Address - Country:US
Mailing Address - Phone:786-877-5143
Mailing Address - Fax:
Practice Address - Street 1:2804 W MARC KNIGHTON CT STE A
Practice Address - Street 2:
Practice Address - City:LECANTO
Practice Address - State:FL
Practice Address - Zip Code:34461-6301
Practice Address - Country:US
Practice Address - Phone:352-746-8000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-24
Last Update Date:2013-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW 88721041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical