Doctor Name: | MS. GRACIELA QUINONES-RODRIGUEZ |
NPI Number: | 1023387594 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 005402 |
Business Practice Address: | 234 Glenbrook Rd. Unit 2011-annex Storrs, CT - 062692011 |
Business Phone Number: | 8604864705 |
Business Fax Number: | 8604869159 |
Mailing Address: | University Of Connecticut Health Services Anx, 234 Glenbrook Rd., Unit 2011 STORRS |
State: | CT |
Postal Code: | 062692011 |
Phone Number: | 8604864705 |
Fax Number: | 8604869159 |
NPI Enumeration Date: | 12/29/2011 |
NPI Last Update Date: | 08/08/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 005402 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |