Provider Demographics
NPI:1851177802
Name:AZCARATE, SONIA PARRA (LCSW)
Entity Type:Individual
Prefix:
First Name:SONIA
Middle Name:PARRA
Last Name:AZCARATE
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 1:12617 ARROW WEED DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79928-6234
Mailing Address - Country:US
Mailing Address - Phone:915-920-5988
Mailing Address - Fax:
Practice Address - Street 1:11701 MONTANA AVE
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-1093
Practice Address - Country:US
Practice Address - Phone:512-539-7446
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-06
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX653731041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical