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NPI Code Detail

MEDICARE: NORMA JEAN LEAL LCSW

MEDICARE: NORMA JEAN LEAL 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 Worker62869TX

General Provider Information

NPI Number : 1184586059
Entity Type Code : Individual
Provider Name (Legal Business Name) : NORMA JEAN LEAL LCSW
Provider Business Mailing Address
First Line : 1206 GARDINA ST
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78201-3303
Country : US
Telephone Number : 210-255-0140
Fax Number : 210-255-0140
Provider Business Practice Location Address
First Line : 2021 GUADALUPE ST # 260
Second Line :
City : AUSTIN
State : TX
Zip : 78705-5654
Country : US
Telephone Number : 646-941-7645
Fax Number : 929-596-7897
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2025
Last Update Date : 12/01/2025

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Directions to “ NORMA JEAN LEAL LCSW” Practice Location

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