MEDICARE: YVONNE WARNER 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	69707	TX

General Provider Information

NPI Number	:	1801783808
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YVONNE WARNER LCSW

Provider Business Mailing Address
First Line	:	7703 N LAMAR BLVD STE 104
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78752-1003
Country	:	US
Telephone Number	:	254-630-2273
Fax Number	:

Provider Business Practice Location Address
First Line	:	7703 N LAMAR BLVD STE 104
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78752-1003
Country	:	US
Telephone Number	:	254-630-2273
Fax Number	:

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

Provider Enumeration Date	:	06/23/2025
Last Update Date	:	06/23/2025

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