Provider Demographics
NPI:1114343407
Name:RODRIGUEZ-HARTMAN, JOANNA (LCSW)
Entity type:Individual
Prefix:MRS
First Name:JOANNA
Middle Name:
Last Name:RODRIGUEZ-HARTMAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 WEBSTER ST
Mailing Address - Street 2:
Mailing Address - City:NORTH ARLINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07031-4910
Mailing Address - Country:US
Mailing Address - Phone:973-460-4353
Mailing Address - Fax:
Practice Address - Street 1:30 WEBSTER ST FL 2
Practice Address - Street 2:
Practice Address - City:NORTH ARLINGTON
Practice Address - State:NJ
Practice Address - Zip Code:07031-4910
Practice Address - Country:US
Practice Address - Phone:973-460-4353
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-11
Last Update Date:2025-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC060691001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical