Provider Demographics
NPI:1659162022
Name:RODRIGUEZ BAEZ, NORMA JOELLY (LCSW)
Entity type:Individual
Prefix:
First Name:NORMA
Middle Name:JOELLY
Last Name:RODRIGUEZ BAEZ
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 1:726 CALLE GIRASOL
Mailing Address - Street 2:
Mailing Address - City:COTO LAUREL
Mailing Address - State:PR
Mailing Address - Zip Code:00780-2839
Mailing Address - Country:US
Mailing Address - Phone:939-900-1248
Mailing Address - Fax:
Practice Address - Street 1:726 CALLE GIRASOL
Practice Address - Street 2:
Practice Address - City:COTO LAUREL
Practice Address - State:PR
Practice Address - Zip Code:00780-2839
Practice Address - Country:US
Practice Address - Phone:939-900-1248
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-15
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR89681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical