MEDICARE: SOPHIA EMMA SLAWSON-VILLASMIL 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	110726	TX

General Provider Information

NPI Number	:	1659230290
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SOPHIA EMMA SLAWSON-VILLASMIL LCSW

Provider Business Mailing Address
First Line	:	104 STRATFORD ST APT A
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77006-3364
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5737 CULLEN BLVD STE 200
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77021-1665
Country	:	US
Telephone Number	:	346-286-3267
Fax Number	:

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

Provider Enumeration Date	:	01/20/2026
Last Update Date	:	01/20/2026

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