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NPI Code Detail

MEDICARE: ALICIA NIELSON LCSW

MEDICARE:   ALICIA  NIELSON  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 Worker63221TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
163221OTHERTXTEXAS SOCIAL WORK LICENSING BOARD

General Provider Information

NPI Number : 1952915977
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALICIA NIELSON LCSW
Provider Business Mailing Address
First Line : 8406 GOLDEN SUNSET
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78250-2131
Country : US
Telephone Number : 210-591-2664
Fax Number :
Provider Business Practice Location Address
First Line : 8637 FREDERICKSBURG RD STE 100
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78240-1283
Country : US
Telephone Number : 210-774-3562
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2020
Last Update Date : 09/08/2020

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Directions to “ ALICIA NIELSON LCSW” Practice Location

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