Provider Demographics
NPI:1497531024
Name:TEPEDINO, ANNA MARIA (LCSW)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:MARIA
Last Name:TEPEDINO
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 1:11423 DUNLAP ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77035-2332
Mailing Address - Country:US
Mailing Address - Phone:713-715-9878
Mailing Address - Fax:
Practice Address - Street 1:19627 INTERSTATE 45 N STE 210
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77388-6028
Practice Address - Country:US
Practice Address - Phone:281-901-0050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-08
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX594171041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical