Provider Demographics
NPI:1497762223
Name:STROUD, NANCY E (LCSW)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:E
Last Name:STROUD
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 1:810 S MASON RD
Mailing Address - Street 2:SUITE 160
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-3895
Mailing Address - Country:US
Mailing Address - Phone:713-270-1448
Mailing Address - Fax:832-251-0920
Practice Address - Street 1:810 S MASON RD
Practice Address - Street 2:SUITE 160
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-3895
Practice Address - Country:US
Practice Address - Phone:713-270-1448
Practice Address - Fax:832-251-0920
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXS181741041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0087PMedicare ID - Type Unspecified
TXP20238Medicare UPIN