MEDICARE: LILLY ALANIZ 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

General Provider Information

NPI Number	:	1710575287
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LILLY ALANIZ LCSW

Provider Business Mailing Address
First Line	:	6391 DE ZAVALA RD STE 203A
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78249-2161
Country	:	US
Telephone Number	:	210-390-6696
Fax Number	:

Provider Business Practice Location Address
First Line	:	6391 DE ZAVALA RD STE 203A
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78249-2161
Country	:	US
Telephone Number	:	210-390-6696
Fax Number	:	210-714-9468

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

Provider Enumeration Date	:	01/09/2021
Last Update Date	:	01/31/2023

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Directions to “ LILLY ALANIZ LCSW” Practice Location

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