Individual provider · Type 1 NPI

Kandiss Rodriguez

Clinical Social Worker · South Pasadena, CA

NPI number 1639006836 Active

Practice location

205 Pasadena Ave
South Pasadena, CA 91030-2919

Fax (323) 344-5536

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X124684 (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 1639006836

Kandiss Rodriguez's National Provider Identifier is 1639006836, issued on May 4, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in South Pasadena, CA. The record was last updated on May 4, 2026.