Provider Demographics
NPI:1942718861
Name:RODRIGUEZ, YVETTE (LMSW)
Entity Type:Individual
Prefix:
First Name:YVETTE
Middle Name:
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:YVETTE
Other - Middle Name:
Other - Last Name:GARMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5469 S GAINSBOROUGH RD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85746-3909
Mailing Address - Country:US
Mailing Address - Phone:520-358-1752
Mailing Address - Fax:
Practice Address - Street 1:4501 E 5TH ST
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85711-7015
Practice Address - Country:US
Practice Address - Phone:520-546-0122
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-12
Last Update Date:2018-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLMSW-154291041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical