Provider Demographics
NPI:1851735484
Name:RODRIGUEZ, REBECCA NICOLE (MSW)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:NICOLE
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14140 CHEVAL VINEYARD WAY
Mailing Address - Street 2:APT. 100
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32828-7660
Mailing Address - Country:US
Mailing Address - Phone:407-301-3199
Mailing Address - Fax:
Practice Address - Street 1:14140 CHEVAL VINEYARD WAY
Practice Address - Street 2:APT. 100
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32828-7660
Practice Address - Country:US
Practice Address - Phone:407-301-3199
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-25
Last Update Date:2013-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical