MEDICARE: ELA KARACEVIC 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	60788	TX

General Provider Information

NPI Number	:	1912771585
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELA KARACEVIC LCSW

Provider Business Mailing Address
First Line	:	2371 BRIARWEST BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77077-5695
Country	:	US
Telephone Number	:	713-401-7827
Fax Number	:

Provider Business Practice Location Address
First Line	:	2371 BRIARWEST BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77077-5695
Country	:	US
Telephone Number	:	713-401-7827
Fax Number	:

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

Provider Enumeration Date	:	11/14/2023
Last Update Date	:	11/14/2023

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Directions to “ ELA KARACEVIC LCSW” Practice Location

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