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Contact Information

KIMBERLY S RODRIGUEZ, LCSW
2600 REDONDO AVE., 6TH FLOOR
LONG BEACH, CA90806
 Phone: 562-256-2913
 Fax: 562-290-0118
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Social Worker

104100000X
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for KIMBERLY S RODRIGUEZ · (Female)

NPI Number 1144747569
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 08/25/2017
Last updated 08/13/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 102993
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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