Provider Demographics
NPI:1891459921
Name:RODRIGUEZ, RAUL III (LCSW)
Entity Type:Individual
Prefix:MR
First Name:RAUL
Middle Name:
Last Name:RODRIGUEZ
Suffix:III
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1617 E HARRISON AVE STE B
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-7477
Mailing Address - Country:US
Mailing Address - Phone:832-583-1062
Mailing Address - Fax:
Practice Address - Street 1:1617 E HARRISON AVE STE B
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-7477
Practice Address - Country:US
Practice Address - Phone:832-583-1062
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-25
Last Update Date:2023-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX669461041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical