MEDICARE: EDWARD POPE LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	5861-C	NV

General Provider Information

NPI Number	:	1023261096
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EDWARD POPE LCSW

Provider Business Mailing Address
First Line	:	7400 MERTON MINTER ST
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-4404
Country	:	US
Telephone Number	:	210-617-5300
Fax Number	:

Provider Business Practice Location Address
First Line	:	4522 FREDRICKSBURG ROAD
Second Line	:	PRRC PROGRAM
City	:	SAN ANTONIO
State	:	TX
Zip	:	78201-6521
Country	:	US
Telephone Number	:	210-949-9702
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/03/2008
Last Update Date	:	02/23/2022

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Directions to “ EDWARD POPE LCSW” Practice Location

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