MEDICARE: MS. BLAIR ALGER 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	62423	TX

General Provider Information

NPI Number	:	1043963077
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. BLAIR ALGER LCSW

Provider Business Mailing Address
First Line	:	560 BEAUREGARD DR
Second Line	:
City	:	CONROE
State	:	TX
Zip	:	77302-3016
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4300 DUNLAVY ST APT 5125
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77006-5461
Country	:	US
Telephone Number	:	936-522-6818
Fax Number	:

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

Provider Enumeration Date	:	01/31/2022
Last Update Date	:	04/25/2022

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