Juanita Rodriguez LCSW

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LCSW61472 Issued in CA

Legal business name

JUANITA RODRIGUEZ LCSW

Practice address

10630 Town Center Dr
Suite 121
Rancho Cucamonga, CA 91730-6805

Phone

(909) 941-1087

NPI assigned

Nov 3, 2014

Last updated

Nov 3, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Juanita Conriquez Rodriguez, LCSW

Title

Therapist

Phone

(909) 731-0347

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1414972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414972800000",
    "number": "1457756462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 MORGAN WAY",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917866443",
            "telephone_number": "909-731-0347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10630 TOWN CENTER DR",
            "address_2": "SUITE 121",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917306805",
            "telephone_number": "909-941-1087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUANITA RODRIGUEZ LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-03",
        "last_updated": "2014-11-03",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "JUANITA",
        "authorized_official_middle_name": "CONRIQUEZ",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "909-731-0347",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "LCSW61472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.