Provider Demographics
NPI:1508872292
Name:SAAVEDRA, DAVID (LCSW)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:SAAVEDRA
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2509 ROBIN AVE
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-4227
Mailing Address - Country:US
Mailing Address - Phone:956-668-1488
Mailing Address - Fax:956-668-1498
Practice Address - Street 1:4800 N 10TH ST STE D
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-2874
Practice Address - Country:US
Practice Address - Phone:956-668-1488
Practice Address - Fax:956-668-1488
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2010-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX221141041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0710873-02Medicaid
TX0710873-02Medicaid