Provider Demographics
NPI:1255303186
Name:RODRIGUEZ, MOLLY D (LCSW)
Entity type:Individual
Prefix:MS
First Name:MOLLY
Middle Name:D
Last Name:RODRIGUEZ
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 1:69 OGDEN PL
Mailing Address - Street 2:
Mailing Address - City:DOBBS FERRY
Mailing Address - State:NY
Mailing Address - Zip Code:10522-2506
Mailing Address - Country:US
Mailing Address - Phone:914-674-1024
Mailing Address - Fax:718-405-5953
Practice Address - Street 1:69 OGDEN PL
Practice Address - Street 2:
Practice Address - City:DOBBS FERRY
Practice Address - State:NY
Practice Address - Zip Code:10522-2506
Practice Address - Country:US
Practice Address - Phone:914-674-1024
Practice Address - Fax:718-405-5953
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR041700-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical