Provider Demographics
NPI:1578277174
Name:SANDS, DAVID ALEXANDER (LCSW)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:ALEXANDER
Last Name:SANDS
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:MR
Other - First Name:ALEX
Other - Middle Name:
Other - Last Name:SANDS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:9301 E US HIGHWAY 290 APT 827
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78724-2628
Mailing Address - Country:US
Mailing Address - Phone:936-689-7411
Mailing Address - Fax:
Practice Address - Street 1:9301 E US HIGHWAY 290 APT 827
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78724-2628
Practice Address - Country:US
Practice Address - Phone:936-689-7411
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-09
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX666301041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical