Provider Demographics
NPI:1922292036
Name:PEREZ, PATRICIA SILVA (LCSW)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:SILVA
Last Name:PEREZ
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:PAT
Other - Middle Name:S
Other - Last Name:CERVANTEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:3706 S 1ST ST
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78704-7046
Mailing Address - Country:US
Mailing Address - Phone:512-324-4973
Mailing Address - Fax:512-324-4948
Practice Address - Street 1:2811 E 2ND ST
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78702
Practice Address - Country:US
Practice Address - Phone:512-324-4957
Practice Address - Fax:512-324-2929
Is Sole Proprietor?:No
Enumeration Date:2007-08-31
Last Update Date:2021-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX172351041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical