Provider Demographics
NPI:1821421082
Name:VALDEZ, SOSTENES JR (LCSW)
Entity Type:Individual
Prefix:MR
First Name:SOSTENES
Middle Name:
Last Name:VALDEZ
Suffix:JR
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 1:501 EXETER RD.
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78209-4845
Mailing Address - Country:US
Mailing Address - Phone:210-670-5281
Mailing Address - Fax:
Practice Address - Street 1:501 EXETER RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78209-4845
Practice Address - Country:US
Practice Address - Phone:210-670-5281
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-12
Last Update Date:2017-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX569471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical