Johanna Rodriguez
Social Worker, Clinical in San Diego, CA. Individual provider (NPI-1).
NPI number1548073232
StatusActive
Last updated in NPPESFeb 11, 2025
Details
- NPI
- 1548073232
- Entity type
- Individual (NPI-1)
- Name
- Johanna Rodriguez
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 28, 2025
- Certification date
- Feb 11, 2025
- Last updated
- Feb 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 128591 | CA | Yes |
| 171M00000X | Case Manager/Care Coordinator | – | – |
Practice location
3002 Armstrong StSan Diego, CA 92111-5702
Phone 858-633-4100
Mailing address
3002 Armstrong StSan Diego, CA 92111-5702
Phone 858-633-4100
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