Provider Demographics
NPI:1144118001
Name:TIJERINA, PATRICIA (LMSW, LCDC-I)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:
Last Name:TIJERINA
Suffix:
Gender:F
Credentials:LMSW, LCDC-I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5202 VICTORY AVE
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78542-8690
Mailing Address - Country:US
Mailing Address - Phone:956-249-5182
Mailing Address - Fax:
Practice Address - Street 1:5202 VICTORY AVE
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78542-8690
Practice Address - Country:US
Practice Address - Phone:956-249-5182
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-27
Last Update Date:2025-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX109964104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker