Provider Demographics
NPI:1801231790
Name:RODRIGUEZ, YAQUELIN (MSW, LCSW)
Entity Type:Individual
Prefix:MRS
First Name:YAQUELIN
Middle Name:
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9743 NW 20TH ST
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33071-5837
Mailing Address - Country:US
Mailing Address - Phone:954-644-3286
Mailing Address - Fax:
Practice Address - Street 1:9743 NW 20TH ST
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33071-5837
Practice Address - Country:US
Practice Address - Phone:954-644-3286
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-06
Last Update Date:2013-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW 110481041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical