Provider Demographics
NPI:1073721924
Name:CERVANTES, NEFTALI MARTINEZ (LCSW, LCDC)
Entity Type:Individual
Prefix:MRS
First Name:NEFTALI
Middle Name:MARTINEZ
Last Name:CERVANTES
Suffix:
Gender:F
Credentials:LCSW, LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9700 BISSONNET ST STE 1000W
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-8001
Mailing Address - Country:US
Mailing Address - Phone:832-733-1100
Mailing Address - Fax:832-825-9461
Practice Address - Street 1:9700 BISSONNET ST STE 1000W
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-8001
Practice Address - Country:US
Practice Address - Phone:832-733-1100
Practice Address - Fax:832-825-9461
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2019-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX54495104100000X, 1041C0700X
TX9454101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)