Provider Demographics
NPI:1336937994
Name:RODRIGUEZ, ADRIANA RAE (LMSW)
Entity type:Individual
Prefix:
First Name:ADRIANA
Middle Name:RAE
Last Name:RODRIGUEZ
Suffix:
Gender:
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5700 PELICAN AVE
Mailing Address - Street 2:
Mailing Address - City:PALMHURST
Mailing Address - State:TX
Mailing Address - Zip Code:78573-0569
Mailing Address - Country:US
Mailing Address - Phone:956-874-3272
Mailing Address - Fax:
Practice Address - Street 1:5700 PELICAN AVE
Practice Address - Street 2:
Practice Address - City:PALMHURST
Practice Address - State:TX
Practice Address - Zip Code:78573-0569
Practice Address - Country:US
Practice Address - Phone:956-874-3272
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-25
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker