Healthcare Provider Details

I. General information

NPI: 1770290405
Provider Name (Legal Business Name): TRISHA LYNN CUPERO LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MS. TRISHA LYNN CUPERO MORGAN

II. Dates (important events)

Enumeration Date: 11/02/2022
Last Update Date: 06/10/2025
Certification Date: 06/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7509 MENCHACA RD UNIT 108
AUSTIN TX
78745-6050
US

IV. Provider business mailing address

7509 MENCHACA RD UNIT 108
AUSTIN TX
78745-6050
US

V. Phone/Fax

Practice location:
  • Phone: 737-201-3639
  • Fax:
Mailing address:
  • Phone: 737-201-3639
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number57521
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: