Provider Demographics
NPI:1851627400
Name:RODRIGUEZ, ADMINDA LUZ (LCSW)
Entity Type:Individual
Prefix:MS
First Name:ADMINDA
Middle Name:LUZ
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 1:130 CREEKSIDE DR
Mailing Address - Street 2:
Mailing Address - City:MURPHY
Mailing Address - State:TX
Mailing Address - Zip Code:75094-4325
Mailing Address - Country:US
Mailing Address - Phone:787-397-8769
Mailing Address - Fax:
Practice Address - Street 1:130 CREEKSIDE DR
Practice Address - Street 2:
Practice Address - City:MURPHY
Practice Address - State:TX
Practice Address - Zip Code:75094-4325
Practice Address - Country:US
Practice Address - Phone:787-397-8769
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-02
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0075001041C0700X
TX637431041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical