Provider Demographics
NPI:1164319133
Name:RODRIGUEZ, LAUREN (MSW, LSW)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 MAIN ST
Mailing Address - Street 2:SUITE 203
Mailing Address - City:OSWEGO
Mailing Address - State:IL
Mailing Address - Zip Code:60543-2305
Mailing Address - Country:US
Mailing Address - Phone:630-733-9108
Mailing Address - Fax:630-912-4242
Practice Address - Street 1:113 MAIN ST
Practice Address - Street 2:SUITE 203
Practice Address - City:OSWEGO
Practice Address - State:IL
Practice Address - Zip Code:60543-2305
Practice Address - Country:US
Practice Address - Phone:630-733-9108
Practice Address - Fax:630-912-4242
Is Sole Proprietor?:No
Enumeration Date:2025-06-21
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical