MEDICARE: CESAR SEVESO LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	62452	TX

General Provider Information

NPI Number	:	1154988038
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CESAR SEVESO LCSW

Provider Business Mailing Address
First Line	:	4010 BLUE BONNET BLVD STE 212
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77025-1721
Country	:	US
Telephone Number	:	832-244-5720
Fax Number	:

Provider Business Practice Location Address
First Line	:	4010 BLUE BONNET BLVD STE 212
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77025-1721
Country	:	US
Telephone Number	:	832-244-5720
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/25/2019
Last Update Date	:	03/27/2026

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Directions to “ CESAR SEVESO LCSW” Practice Location

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