Provider Demographics
NPI:1104032473
Name:RODRIGUEZ, JULIA C (LBSW)
Entity type:Individual
Prefix:MRS
First Name:JULIA
Middle Name:C
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:LBSW
Other - Prefix:MRS
Other - First Name:JULIE
Other - Middle Name:C
Other - Last Name:RODRIGUEZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LBSW
Mailing Address - Street 1:PO BOX 1694
Mailing Address - Street 2:
Mailing Address - City:LOS FRESNOS
Mailing Address - State:TX
Mailing Address - Zip Code:78566-1694
Mailing Address - Country:US
Mailing Address - Phone:956-233-4548
Mailing Address - Fax:
Practice Address - Street 1:410 S JACKSON RD # 3397
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-3924
Practice Address - Country:US
Practice Address - Phone:956-720-4552
Practice Address - Fax:956-720-4554
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2014-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX24042104100000X
171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No104100000XBehavioral Health & Social Service ProvidersSocial Worker