Rodriguez, Michael Jordy

Rodriguez, Michael Jordy is an individual health care provider with primary practice located at 4828 196Th Pl , Fresh Meadows NY 11365. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Rodriguez, Michael Jordy can be contacted via phone (917) 224-1245.

Contact Information

Primary practice address
4828 196Th Pl Fresh Meadows NY 11365
Phone: (917) 224-1245
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 090124 New York
Behavioral Health & Social Service Providers / Clinical 1041C0700X 086539 New York

Profile Details

NPI number 1013466366
LBN Legal business name Rodriguez, Michael Jordy
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2016
Last updated Jun 19th, 2018 - about 7 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.

Request for update

Popular Providers