Provider Demographics
NPI:1174684823
Name:DE PAIVA, ANA MARIA R (LCSW ACP BCD)
Entity Type:Individual
Prefix:MRS
First Name:ANA MARIA
Middle Name:R
Last Name:DE PAIVA
Suffix:
Gender:F
Credentials:LCSW ACP BCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1215 BARKDULL
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77006-6403
Mailing Address - Country:US
Mailing Address - Phone:713-659-4242
Mailing Address - Fax:713-523-8111
Practice Address - Street 1:1215 BARKDULL
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77006-6403
Practice Address - Country:US
Practice Address - Phone:713-659-4242
Practice Address - Fax:713-523-8111
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-13
Last Update Date:2010-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX167601041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical