Jessica Noreen Nathaniel, LCSW-S
Social Worker, Clinical in Austin, TX. Individual provider (NPI-1).
NPI number1295543437
StatusActive
Last updated in NPPESDec 19, 2024
Details
- NPI
- 1295543437
- Entity type
- Individual (NPI-1)
- Name
- Jessica Noreen Nathaniel
- Credential
- LCSW-S
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 19, 2024
- Certification date
- Dec 19, 2024
- Last updated
- Dec 19, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 65553 | TX | Yes |
Practice location
3705 Medical Pkwy Ste 410Austin, TX 78705-1023
Phone 512-320-5779
Mailing address
12008 Plains Valley DrDel Valle, TX 78617-3510
Phone 210-334-5900
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