Provider Demographics
NPI:1992213136
Name:CASTO, ADA (LCSW-S, LCDC)
Entity Type:Individual
Prefix:
First Name:ADA
Middle Name:
Last Name:CASTO
Suffix:
Gender:F
Credentials:LCSW-S, LCDC
Other - Prefix:
Other - First Name:ADA
Other - Middle Name:
Other - Last Name:CASTILLO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW, LCDC
Mailing Address - Street 1:5555 N LAMAR BLVD
Mailing Address - Street 2:K100A
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78751-1063
Mailing Address - Country:US
Mailing Address - Phone:512-964-3037
Mailing Address - Fax:
Practice Address - Street 1:5555 N LAMAR BLVD K100A
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78751-1063
Practice Address - Country:US
Practice Address - Phone:512-964-3037
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-22
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14256101YA0400X
TX626301041C0700X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)