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Clinical Social Worker · San Antonio, TX

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At a glance

1719 Eagle Pt, San Antonio, TX 78248-1311

NPPES record updated Mar 6, 2024. Public records can lag behind changes at a practice.

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Practice location

1719 Eagle Pt
San Antonio, TX 78248-1311

Professional details: NPI, taxonomy & registry record

NPI1356109219

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Registry details

Primary taxonomy: Clinical Social Worker
Taxonomy code: 1041C0700X
Enumeration date: Mar 6, 2024
Record updated: Mar 6, 2024

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Clinical Social Worker

1041C0700X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

1719 Eagle Pt
San Antonio, TX 78248-1311

Phone: (210) 422-6703

Mailing address

510 WALDER TRL

SAN ANTONIO, TX 782607739

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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