Provider Demographics
NPI:1861905440
Name:RODRIGUEZ, STEPHANIE D (LCSW, DVS, SAS)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:D
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:LCSW, DVS, SAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 CROWN CIR
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19901-6116
Mailing Address - Country:US
Mailing Address - Phone:302-505-1513
Mailing Address - Fax:
Practice Address - Street 1:7 CROWN CIR
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19901-6116
Practice Address - Country:US
Practice Address - Phone:302-505-1513
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-06
Last Update Date:2025-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEQ1-00015691041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty