Provider Demographics
NPI:1750804100
Name:RODRIGUEZ, CAROLINA (LCSW)
Entity type:Individual
Prefix:
First Name:CAROLINA
Middle Name:
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:CAROLINA
Other - Middle Name:
Other - Last Name:RAMIREZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:1250 FARMINGTON AVE APT A23
Mailing Address - Street 2:
Mailing Address - City:WEST HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06107-2631
Mailing Address - Country:US
Mailing Address - Phone:305-343-2009
Mailing Address - Fax:
Practice Address - Street 1:800 CONNECTICUT BLVD FL 4
Practice Address - Street 2:
Practice Address - City:EAST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06108-3239
Practice Address - Country:US
Practice Address - Phone:860-622-5451
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-18
Last Update Date:2024-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty