MEDICARE: JOSEPHINE JOAN SANCHEZ LMSW

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	104100000X	Social Worker	24673	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	24673	OTHER	TX	TX STATE BOARD OF SOCIAL WORKER EXAMINERS

General Provider Information

NPI Number	:	1730339920
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPHINE JOAN SANCHEZ LMSW

Provider Business Mailing Address
First Line	:	2300 W COMMERCE ST STE 300
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78207-3840
Country	:	US
Telephone Number	:	210-922-0103
Fax Number	:	210-922-0162

Provider Business Practice Location Address
First Line	:	204 NOLAN
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78202-2153
Country	:	US
Telephone Number	:	210-229-9322
Fax Number	:	210-227-5239

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

Provider Enumeration Date	:	09/24/2008
Last Update Date	:	09/24/2008

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