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Contact Information

JUAN RODRIGUEZ, LCSW
254 CHURCH STREET
HAYESVILLE, NC28904
 Phone: 828-389-1494
 Fax: 828-389-1343
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for JUAN RODRIGUEZ · (Male)

NPI Number 1114257243
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 01/13/2010
Last updated 09/18/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • NC License # C008066
  • NC Medicaid 1114257243
  • NC Other 1812A BCBS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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