Provider Demographics
NPI:1528194644
Name:STRANGE, CAROL ANN (LCSW)
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:ANN
Last Name:STRANGE
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 1:13107 VOELCKER RANCH DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78231-2260
Mailing Address - Country:US
Mailing Address - Phone:210-408-8212
Mailing Address - Fax:210-408-8212
Practice Address - Street 1:13107 VOELCKER RANCH DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78231-2260
Practice Address - Country:US
Practice Address - Phone:210-408-8212
Practice Address - Fax:210-408-8212
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX333071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical