MEDICARE: HEBA ABU-MAIZAR 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		TX

General Provider Information

NPI Number	:	1548925928
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEBA ABU-MAIZAR LCSW

Provider Business Mailing Address
First Line	:	9313 WOOD DUCK DR
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76118-7785
Country	:	US
Telephone Number	:	817-233-3452
Fax Number	:

Provider Business Practice Location Address
First Line	:	9313 WOOD DUCK DR
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76118-7785
Country	:	US
Telephone Number	:	817-233-3452
Fax Number	:

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

Provider Enumeration Date	:	11/01/2021
Last Update Date	:	01/16/2026

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