Individual provider · Type 1 NPI
Juan Rodriguez, LCSW
Clinical Social Worker · South Lake Tahoe, CA
Practice location
PO Box 18033
South Lake Tahoe, CA 96151-8033
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 127365 (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 1689486110
Juan Rodriguez, LCSW's National Provider Identifier is 1689486110, issued on Jan 22, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in South Lake Tahoe, CA. The record was last updated on Jan 22, 2025.