Healthcare Provider Details

I. General information

NPI: 1801618913
Provider Name (Legal Business Name): KATHRINE GEDDINGS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/29/2024
Last Update Date: 10/29/2024
Certification Date: 10/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9730 WESTOVER HILLS BLVD STE 108
SAN ANTONIO TX
78251
US

IV. Provider business mailing address

9730 WESTOVER HILLS BLVD STE 108
SAN ANTONIO TX
78251
US

V. Phone/Fax

Practice location:
  • Phone: 210-386-5607
  • Fax:
Mailing address:
  • Phone: 210-386-5607
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number52668
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: