La'Wanda Myers, LCSW

Individual provider Active NPI Clinical Social Worker · Garden Ridge, TX

NPI 1831740752 · NPPES record last updated Sep 23, 2019

Key facts

NPI
1831740752
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
63247 (TX)
Practice address
19315 Farm to Market Road 2252
Garden Ridge, TX 78154
Phone
(210) 201-5273
NPI assigned
Sep 23, 2019
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
63247TXMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 63247 TX Yes

Addresses

Primary practice location

19315 Farm to Market Road 2252
Garden Ridge, TX 78154

Mailing address

214 Spruce Breeze
San Antonio, TX 78245-2981
Phone (706) 254-4598

Other providers in Garden Ridge, TX

All providers in Garden Ridge, TX · Clinical Social Worker in Texas

Sources for this page

Verify at the official NPI Registry.