MEDICARE: TAWNIE PUTIGNANO 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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	7184	OTHER	CA	MEDICAL
2	7368	OTHER	CA	MEDICAL
3	7667	OTHER	CA	MEDICAL
4	7708	OTHER	CA	MEDICAL

General Provider Information

NPI Number	:	1700015138
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAWNIE PUTIGNANO LCSW

Provider Business Mailing Address
First Line	:	PO BOX 132964
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77393-2964
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1201 LAKE WOODLANDS DR STE 4009
Second Line	:
City	:	THE WOODLANDS
State	:	TX
Zip	:	77380-5000
Country	:	US
Telephone Number	:	281-357-9937
Fax Number	:

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

Provider Enumeration Date	:	07/07/2009
Last Update Date	:	01/07/2022

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Directions to “ TAWNIE PUTIGNANO LCSW” Practice Location

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