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NPI Code Detail

MEDICARE: LIAN HORENBLAS LCSW

MEDICARE:   LIAN  HORENBLAS  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
11041C0700XClinical Social Worker65748TX
21041C0700XClinical Social WorkerLSCSW06720KS

General Provider Information

NPI Number : 1114736790
Entity Type Code : Individual
Provider Name (Legal Business Name) : LIAN HORENBLAS LCSW
Provider Business Mailing Address
First Line : 1828 PORTLAND AVE
Second Line :
City : FORT WORTH
State : TX
Zip : 76102-1531
Country : US
Telephone Number : 971-678-2025
Fax Number :
Provider Business Practice Location Address
First Line : 1828 PORTLAND AVE
Second Line :
City : FORT WORTH
State : TX
Zip : 76102-1531
Country : US
Telephone Number : 971-678-2025
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/07/2025
Last Update Date : 02/25/2026

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Directions to “ LIAN HORENBLAS LCSW” Practice Location

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