Tad Bodeman, LCSW
Social Worker, Clinical in Houston, TX. Individual provider (NPI-1).
NPI number1215795331
StatusActive
Last updated in NPPESMar 12, 2024
Details
- NPI
- 1215795331
- Entity type
- Individual (NPI-1)
- Name
- Tad Bodeman
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 12, 2024
- Certification date
- Mar 12, 2024
- Last updated
- Mar 12, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 66371 | TX | Yes |
Practice location
900 Lovett BlvdHouston, TX 77006-3908
Phone 713-470-9878
Mailing address
130 Grandview BlvdMontgomery, TX 77356-4004
Phone 832-221-7075
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