Healthcare Provider Details

I. General information

NPI: 1972104677
Provider Name (Legal Business Name): SANDRA ALFARO LCSW-S
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/08/2020
Last Update Date: 07/17/2025
Certification Date: 07/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201A HILL RD
SMITHVILLE TX
78957-9533
US

IV. Provider business mailing address

1201A HILL RD
SMITHVILLE TX
78957-9533
US

V. Phone/Fax

Practice location:
  • Phone: 512-360-5272
  • Fax: 512-699-5029
Mailing address:
  • Phone: 512-360-5272
  • Fax: 512-360-5273

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number61534
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: