Provider Demographics
NPI:1689897076
Name:SAENZ SEPULVEDA, CAROLA (LCSW)
Entity Type:Individual
Prefix:MS
First Name:CAROLA
Middle Name:
Last Name:SAENZ SEPULVEDA
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 1:2126 PARKDALE DR
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-2351
Mailing Address - Country:US
Mailing Address - Phone:281-433-8210
Mailing Address - Fax:
Practice Address - Street 1:2126 PARKDALE DR
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-2351
Practice Address - Country:US
Practice Address - Phone:281-433-8210
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX042331041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical