Provider Demographics
NPI:1922174408
Name:CUDDY, ROCIO BEATRIZ (LCSW)
Entity Type:Individual
Prefix:MS
First Name:ROCIO
Middle Name:BEATRIZ
Last Name:CUDDY
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 1:595 LINCOLN AVENUE
Mailing Address - Street 2:SUITE 235
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94558-3631
Mailing Address - Country:US
Mailing Address - Phone:707-259-4820
Mailing Address - Fax:
Practice Address - Street 1:595 LINCOLN AVENUE
Practice Address - Street 2:SUITE 235
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94558-3631
Practice Address - Country:US
Practice Address - Phone:707-259-4820
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS180001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical