Juadan Rodriguez, LCSW
Social Worker, Clinical in New York, NY. Individual provider (NPI-1).
NPI number1902940331
StatusActive
Last updated in NPPESDec 9, 2025
Details
- NPI
- 1902940331
- Entity type
- Individual (NPI-1)
- Name
- Mr. Juadan Rodriguez
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 18, 2007
- Certification date
- Dec 9, 2025
- Last updated
- Dec 9, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 075718 | NY | Yes |
Practice location
2265 3rd AveNew York, NY 10035-2231
Phone 212-289-6650
Mailing address
2265 3rd AveNew York, NY 10035-2231
Phone 212-289-6650
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