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NPI Code Detail

MEDICARE: MRS. JENNIFER J DELZOTTO LCSW

MEDICARE: MRS. JENNIFER J DELZOTTO 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 Worker108383TX

General Provider Information

NPI Number : 1801158811
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JENNIFER J DELZOTTO LCSW
Provider Business Mailing Address
First Line : 5900 BALCONES DR STE 100
Second Line :
City : AUSTIN
State : TX
Zip : 78731-4298
Country : US
Telephone Number : 210-331-7101
Fax Number :
Provider Business Practice Location Address
First Line : 5900 BALCONES DR STE 100
Second Line :
City : AUSTIN
State : TX
Zip : 78731-4298
Country : US
Telephone Number : 210-331-7101
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2012
Last Update Date : 03/26/2025

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