Provider Demographics
NPI:1164128021
Name:WEBBER, KRISTIN NOEL (LCSW)
Entity Type:Individual
Prefix:
First Name:KRISTIN
Middle Name:NOEL
Last Name:WEBBER
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 1:329 E SUMMIT AVE
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78212-3028
Mailing Address - Country:US
Mailing Address - Phone:210-823-1778
Mailing Address - Fax:
Practice Address - Street 1:645 N WALNUT AVE
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-7925
Practice Address - Country:US
Practice Address - Phone:830-730-6090
Practice Address - Fax:830-455-4355
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-02
Last Update Date:2023-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX502501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical