Individual provider · Type 1 NPI

Crystal Rodrigues

Clinical Social Worker · Kelseyville, CA

NPI number 1124436522 Active

Practice location

9735 Tyee Ct
Kelseyville, CA 95451-8803

Mailing address

6302 13th Ave
Lucerne, CA 95458

Other practice locations

  • 680 E Colorado Blvd, Pasadena, CA 91101-6143 · (646) 941-7645

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X137039 (CA)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1124436522

Crystal Rodrigues's National Provider Identifier is 1124436522, issued on Jul 29, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Kelseyville, CA. The record was last updated on Sep 22, 2026.