NPI age
19 years
Enumerated 2007-05-01
Across 12911 active social worker providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 57612 | LICENSED CLINICAL SOCIAL WORKER |
| 01 (MA) | 70010000P03053 | BCBS |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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