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NPI Code Detail

MEDICARE: SARAH PICKEN LCSW

MEDICARE:   SARAH  PICKEN  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
11041C0700XClinical Social Worker64641TX

General Provider Information

NPI Number : 1467039479
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH PICKEN LCSW
Provider Business Mailing Address
First Line : 178 RIVERDALE DR
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78228-4835
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6363 DE ZAVALA RD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78249-2103
Country : US
Telephone Number : 210-431-6466
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2021
Last Update Date : 03/25/2021

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Directions to “ SARAH PICKEN LCSW” Practice Location

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