Leonor Marie Rodriguez, LICSW
Individual provider Active NPI Clinical Social Worker · Pelham, MA
NPI 1972085991 · NPPES record last updated Sep 6, 2018
Key facts
- NPI
- 1972085991
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 107178 (MA)
- Practice address
- 237 N Valley Rd
Pelham, MA 01002-9770 - Phone
- (413) 478-7922
- NPI assigned
- Sep 6, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 107178 | MA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | 107178 | MA | Yes |
Addresses
Primary practice location
237 N Valley Rd
Pelham, MA 01002-9770
Mailing address
237 N Valley Rd
Pelham, MA 01002-9770
Phone (413) 478-7922
Other providers in Pelham, MA
- Abigail Jenks
- Jessica King LMHC PC
- Ann Noel Kesselheim
- McCarthy Psychotherapy Practice, LLC
- Miriam Oppenheimer
- Elizabeth Thompson
- Top Gun Staffing, Inc.
All providers in Pelham, MA · Clinical Social Worker in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 6, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.