ELEANOR AGOSTA RODRIGUEZ MSW LCSW NPI 1356916043

NPI Information

NPI: 1356916043
Provider Name: ELEANOR AGOSTA RODRIGUEZ, MSW, LCSW
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

PECOS Registration: Yes

Address:
2113 RUBY RED BLVD STE D
CLERMONT, FL
ZIP 34714
Phone: (352) 394-0573
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Eleanor Agosta Rodriguez, MSW, LCSW is a mental health counselor in Clermont, FL. Eleanor Agosta Rodriguez, MSW, LCSW NPI is 1356916043. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2113 RUBY RED BLVD STE D
CLERMONT, FL
ZIP 34714-115
Phone: (352) 394-0573

The NPI 1356916043 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 5/25/2021 and was last updated on 12/19/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	SW21921	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	119164700	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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