Healthcare Provider Details

I. General information

NPI: 1285226050
Provider Name (Legal Business Name): CHATONE STRICKLAND
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/03/2021
Last Update Date: 02/03/2021
Certification Date: 02/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 NE LOOP 410 STE D200
SAN ANTONIO TX
78209-1407
US

IV. Provider business mailing address

900 NE LOOP 410 STE D200
SAN ANTONIO TX
78209-1407
US

V. Phone/Fax

Practice location:
  • Phone: 210-822-2600
  • Fax: 210-822-2685
Mailing address:
  • Phone: 210-822-2600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number202682
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number62432
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: