Individual provider · Type 1 NPI

Freddie Vazquez-Rodriguez, CASAC-G, LCSW (RI)

Addiction (Substance Use Disorder) Counselor · New York, NY

NPI number 1275958753 Active

Practice location

19 Union Sq W, Floor 7
New York, NY 10003-3304

Fax (212) 627-4040

Mailing address

9610 57th Ave Apt ROME2J
Corona, NY 11368-3436

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X8673 (CT)
Social Worker 104100000X150.112973 (IL)
Clinical Social Worker 1041C0700XCSW03457 (RI)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X19114 (NY)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1275958753

Freddie Vazquez-Rodriguez, CASAC-G, LCSW (RI)'s National Provider Identifier is 1275958753, issued on Feb 20, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in New York, NY. The record was last updated on Jul 29, 2025.