| Provider / Organization | NPI | Date Certified |
|---|---|---|
| JESSICA NICOLE RODRIGUEZ CRUZ | 1780928424 | 2024-11-10 |
Jessica Nicole Rodriguez Cruz is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1780928424. Registration indicates Jessica Nicole Rodriguez Cruz is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Social Worker (Behavioral Health & Social Service Providers, Social Worker) (Social Worker: Clinical, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Social Worker Clinical, Behavioral Health & Social Service Providers) (Social Worker, )
| Entity Type | Individual |
| Provider Name | Mrs. Jessica Nicole Rodriguez Cruz LCSW |
| Other Provider Name | Ms. Jessica Nicole Rodriguez |
| Practice Office Address | 405 W 5TH ST SANTA ANA, CA US |
| Practice Office Telephone | 8556254657 |
| Mailing Address | 405 W 5TH ST SANTA ANA, CA 927014599 US |
| Business Telephone | 8556254657 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 1720 Hopkins Dr | San Jose, CA 951221632 | 4089287500 / 4089287501 |
| 21520 Pioneer Blvd Ste 110 | Hawaiian Gardens, CA 90716 | 5628653644 / 5622465704 |
| Pathways Intranet [] | https://intranet.provcorp.com/SitePages/Home.aspx |
| Code | Practice | License No State |
|---|---|---|
| 1041C0700X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Social Worker Behavioral Health & Social Service Providers Social Worker Social Worker: Clinical Behavioral Health/Substance Abuse/Psychiatry Social Worker Clinical Behavioral Health & Social Service Providers Social Worker | LCSW114622
CA |