MEDICARE: MARTY CABALLERO LMSW

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	104100000X	Social Worker	116625	TX

General Provider Information

NPI Number	:	1578422754
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARTY CABALLERO LMSW

Provider Business Mailing Address
First Line	:	25114 BARMBY DR
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77389-3248
Country	:	US
Telephone Number	:	832-534-2694
Fax Number	:

Provider Business Practice Location Address
First Line	:	19627 INTERSTATE 45 N STE 210
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77388-6028
Country	:	US
Telephone Number	:	281-901-0050
Fax Number	:

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

Provider Enumeration Date	:	01/21/2026
Last Update Date	:	01/21/2026

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Directions to “ MARTY CABALLERO LMSW” Practice Location

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