Healthcare Provider Details

I. General information

NPI: 1255154050
Provider Name (Legal Business Name): ALEJANDRO DAVID HUKILL ARIAS LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/01/2024
Last Update Date: 09/24/2025
Certification Date: 09/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1723 HEMPHILL ST
FORT WORTH TX
76110-1516
US

IV. Provider business mailing address

5025 LOCKE AVE
FORT WORTH TX
76107-5213
US

V. Phone/Fax

Practice location:
  • Phone: 817-927-4040
  • Fax:
Mailing address:
  • Phone: 214-680-6263
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number106273
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: