Provider Demographics
NPI:1538687694
Name:RODRIGUEZ, DULCE MARIA (LCSW)
Entity Type:Individual
Prefix:MS
First Name:DULCE
Middle Name:MARIA
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:PO BOX 72922
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87195-2922
Mailing Address - Country:US
Mailing Address - Phone:505-315-2032
Mailing Address - Fax:
Practice Address - Street 1:1330 SAN PEDRO DR NE STE 108
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87110-6744
Practice Address - Country:US
Practice Address - Phone:505-209-9227
Practice Address - Fax:505-226-4607
Is Sole Proprietor?:No
Enumeration Date:2017-09-08
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMM-10079104100000X
NMC-110781041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker