MEDICARE: DAVID C. WITHROW 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	SW16262	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1649376013
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID C. WITHROW LCSW

Provider Business Mailing Address
First Line	:	1409 S 9TH AVE STE 143
Second Line	:
City	:	EDINBURG
State	:	TX
Zip	:	78539-5549
Country	:	US
Telephone Number	:	956-362-5217
Fax Number	:

Provider Business Practice Location Address
First Line	:	1409 S 9TH AVE STE 143
Second Line	:
City	:	EDINBURG
State	:	TX
Zip	:	78539
Country	:	US
Telephone Number	:	956-777-0483
Fax Number	:

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

Provider Enumeration Date	:	09/15/2006
Last Update Date	:	12/09/2024

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Directions to “ DAVID C. WITHROW LCSW” Practice Location

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