Rodriguez, Karen A.
Rodriguez, Karen A. is an sole proprietor health care provider with primary practice located at 118 N Elm St , Avoca IA 51521-0399. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Rodriguez, Karen A. can be contacted via phone (712) 307-6014.Contact Information
Primary practice address
118 N Elm St
Avoca IA 51521-0399
Phone: (712) 307-6014
Fax: (712) 307-6015
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 06578 | Iowa |
Behavioral Health & Social Service Providers / Social Worker | 104100000X |
Profile Details
NPI number | 1780739177 |
---|---|
LBN Legal business name | Rodriguez, Karen A. |
Credentials | LISW, LMHP, CMSW |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 24th, 2007 |
Last updated | Oct 7th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1780739177 | NPPES |
Iowa | MEDICAID | 816656000 | |
Iowa | Other | 06578 | |
Iowa | Other | 1110 | |
Iowa | Other | 2705 |
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