Healthcare Provider Details

I. General information

NPI: 1740219484
Provider Name (Legal Business Name): DENISE DAWN WELMAKER LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/03/2006
Last Update Date: 10/24/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

214 PIKE RD
SAN ANTONIO TX
78209-3515
US

IV. Provider business mailing address

214 PIKE RD
SAN ANTONIO TX
78209-3515
US

V. Phone/Fax

Practice location:
  • Phone: 210-867-5307
  • Fax:
Mailing address:
  • Phone: 210-685-0341
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number16096
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: