Provider Demographics
NPI:1538719000
Name:RODRIGUEZ-FUCCI, CARO (LCSW)
Entity type:Individual
Prefix:
First Name:CARO
Middle Name:
Last Name:RODRIGUEZ-FUCCI
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 ARGYLE RD APT 7B
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11218-2936
Mailing Address - Country:US
Mailing Address - Phone:646-593-9809
Mailing Address - Fax:
Practice Address - Street 1:638 WALTON AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10451-5216
Practice Address - Country:US
Practice Address - Phone:347-486-7486
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-17
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0964961041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical