Provider Demographics
NPI:1013211044
Name:RODRIGUEZ, ANGELICA (MSW, LICSW)
Entity type:Individual
Prefix:
First Name:ANGELICA
Middle Name:
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1690 BOSTON RD # 1072
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01129-1153
Mailing Address - Country:US
Mailing Address - Phone:413-386-6735
Mailing Address - Fax:
Practice Address - Street 1:1690 BOSTON RD # 1072
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01129-1153
Practice Address - Country:US
Practice Address - Phone:413-386-6735
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-05
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1277861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical