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NPI Code Detail

MEDICARE: MR. JIMMY ALCALA LCSW

MEDICARE: MR. JIMMY ALCALA 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
1104100000XSocial Worker62474TX
21041C0700XClinical Social Worker62474TX

General Provider Information

NPI Number : 1255196689
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JIMMY ALCALA LCSW
Provider Business Mailing Address
First Line : 500 W WILLIAM CANNON DR STE 400
Second Line :
City : AUSTIN
State : TX
Zip : 78745-5879
Country : US
Telephone Number : 866-278-8432
Fax Number :
Provider Business Practice Location Address
First Line : 500 W WILLIAM CANNON DR
Second Line : STE 400
City : AUSTIN
State : TX
Zip : 78745-5879
Country : US
Telephone Number : 866-278-8432
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2024
Last Update Date : 09/05/2025

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Directions to “ MR. JIMMY ALCALA LCSW” Practice Location

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