Provider Demographics
NPI:1164084794
Name:SATCHEL, JACLYN D (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:JACLYN
Middle Name:D
Last Name:SATCHEL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12323 JOHNS PURCHASE CT
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-2154
Mailing Address - Country:US
Mailing Address - Phone:832-422-8356
Mailing Address - Fax:
Practice Address - Street 1:7110 HOUSE HAUL RD
Practice Address - Street 2:SUITE C 09
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433
Practice Address - Country:US
Practice Address - Phone:832-422-8356
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-03
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX567511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical