Stephanie Cavazos, LCSW
Individual provider Active NPI Social Worker · Inez, TX
NPI 1649404872 · NPPES record last updated May 1, 2009
Key facts
- NPI
- 1649404872
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 36313 (TX)
- Practice address
- 1227 Live Oak Dr
Inez, TX 77968-3645 - Phone
- (361) 676-6013
- Fax
- (361) 987-2892
- NPI assigned
- May 1, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36313 | TX | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 36313 | TX | Yes |
Addresses
Primary practice location
1227 Live Oak Dr
Inez, TX 77968-3645
Mailing address
PO Box 907
Port Lavaca, TX 77979-0907
Phone (361) 676-6013
Other providers in Inez, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 1, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.