Provider Demographics
NPI:1508512047
Name:PIZARRO, SAMIRA KIM (LCSW)
Entity Type:Individual
Prefix:
First Name:SAMIRA
Middle Name:KIM
Last Name:PIZARRO
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 1:4811 E SAM HOUSTON PKWY S APT 838
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77505-3983
Mailing Address - Country:US
Mailing Address - Phone:270-320-9375
Mailing Address - Fax:
Practice Address - Street 1:4811 E SAM HOUSTON PKWY S APT 838
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77505-3983
Practice Address - Country:US
Practice Address - Phone:270-320-9375
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-23
Last Update Date:2022-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX648401041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical