Provider Demographics
NPI:1790991636
Name:PILEGGI, PAULA MARIE (LMSW-ACP)
Entity Type:Individual
Prefix:MS
First Name:PAULA
Middle Name:MARIE
Last Name:PILEGGI
Suffix:
Gender:F
Credentials:LMSW-ACP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:327 THOMAS JEFFERSON DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78228-3150
Mailing Address - Country:US
Mailing Address - Phone:210-737-1642
Mailing Address - Fax:210-738-8380
Practice Address - Street 1:327 THOMAS JEFFERSON DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78228-3150
Practice Address - Country:US
Practice Address - Phone:210-737-1642
Practice Address - Fax:210-738-8380
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2007-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX101Y00000X, 104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101Y00000XBehavioral Health & Social Service ProvidersCounselor
Not Answered104100000XBehavioral Health & Social Service ProvidersSocial Worker