Provider Demographics
NPI:1972825826
Name:ALONZO-CLIFTON, NANCY (LBSW)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:ALONZO-CLIFTON
Suffix:
Gender:F
Credentials:LBSW
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:
Other - Last Name:ALONZO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LBSW
Mailing Address - Street 1:706 DIVISION AVE
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78225-2500
Mailing Address - Country:US
Mailing Address - Phone:210-977-9555
Mailing Address - Fax:210-977-9992
Practice Address - Street 1:706 DIVISION AVE
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78225-2500
Practice Address - Country:US
Practice Address - Phone:210-977-9555
Practice Address - Fax:210-977-9992
Is Sole Proprietor?:No
Enumeration Date:2010-02-19
Last Update Date:2010-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX38569104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker