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NPI Code Detail

MEDICARE: BYRON SEVE CANALES LMSW, LCDC-I

MEDICARE: BYRON SEVE CANALES LMSW, LCDC-I
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
1104100000XSocial Worker117299TX

General Provider Information

NPI Number : 1396677308
Entity Type Code : Individual
Provider Name (Legal Business Name) : BYRON SEVE CANALES LMSW, LCDC-I
Provider Business Mailing Address
First Line : 5001 AVENUE G
Second Line :
City : AUSTIN
State : TX
Zip : 78751-2526
Country : US
Telephone Number : 512-731-0486
Fax Number :
Provider Business Practice Location Address
First Line : 601 W 18TH ST
Second Line :
City : AUSTIN
State : TX
Zip : 78701-1111
Country : US
Telephone Number : 512-456-3304
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2026
Last Update Date : 06/02/2026

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Directions to “ BYRON SEVE CANALES LMSW, LCDC-I” Practice Location

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