Provider Demographics
NPI:1992397533
Name:HERNANDEZ RODRIGUEZ, CECILIA BEATRIZ (LMSW)
Entity Type:Individual
Prefix:
First Name:CECILIA
Middle Name:BEATRIZ
Last Name:HERNANDEZ RODRIGUEZ
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18218 SWISS CIR
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20874-2365
Mailing Address - Country:US
Mailing Address - Phone:240-505-4546
Mailing Address - Fax:
Practice Address - Street 1:18218 SWISS CIR
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20874-2365
Practice Address - Country:US
Practice Address - Phone:240-505-4546
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-05
Last Update Date:2021-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD26764104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker