MEDICARE: SARAH HORVATH 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	S18231	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00S51U	OTHER	TX	BCBS

General Provider Information

NPI Number	:	1588750442
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH HORVATH LCSW

Provider Business Mailing Address
First Line	:	800 HWY 290 WEST
Second Line	:	BUILDING A-300
City	:	DRIPPING SPRINGS
State	:	TX
Zip	:	78620-4191
Country	:	US
Telephone Number	:	512-625-4101
Fax Number	:	512-858-9001

Provider Business Practice Location Address
First Line	:	800 HWY 290 WEST
Second Line	:	BUILDING A-300
City	:	DRIPPING SPRINGS
State	:	TX
Zip	:	78620-4191
Country	:	US
Telephone Number	:	512-625-4101
Fax Number	:	512-858-9001

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

Provider Enumeration Date	:	10/05/2006
Last Update Date	:	04/09/2015

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Directions to “ SARAH HORVATH LCSW” Practice Location

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