Provider Demographics
NPI:1548966914
Name:NODEN, RONDI KYLIAN (MSW)
Entity type:Individual
Prefix:
First Name:RONDI
Middle Name:KYLIAN
Last Name:NODEN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16301 BRIDGEGLADE LN
Mailing Address - Street 2:
Mailing Address - City:LITHIA
Mailing Address - State:FL
Mailing Address - Zip Code:33547-4870
Mailing Address - Country:US
Mailing Address - Phone:720-315-9682
Mailing Address - Fax:
Practice Address - Street 1:2111 W SWANN AVE STE AND202
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33606-2477
Practice Address - Country:US
Practice Address - Phone:813-437-0640
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-06
Last Update Date:2024-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical