MEDICARE: LEILA EL-BATHY 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	104100000X	Social Worker	57583	TX
2	1041C0700X	Clinical Social Worker	57583	TX
3	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1982046322
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEILA EL-BATHY LCSW

Provider Business Mailing Address
First Line	:	PO BOX 1950
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77487-1950
Country	:	US
Telephone Number	:	832-366-5980
Fax Number	:

Provider Business Practice Location Address
First Line	:	8449 W BELLFORT ST STE 285
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77071-2246
Country	:	US
Telephone Number	:	832-595-2467
Fax Number	:

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

Provider Enumeration Date	:	07/26/2013
Last Update Date	:	04/11/2023

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