Provider Demographics
NPI:1134767171
Name:HUGHES VALENTINE, CARISSMA TEMPEST (LCSW-S, DSW)
Entity type:Individual
Prefix:MRS
First Name:CARISSMA
Middle Name:TEMPEST
Last Name:HUGHES VALENTINE
Suffix:
Gender:F
Credentials:LCSW-S, DSW
Other - Prefix:MRS
Other - First Name:CARISSMA
Other - Middle Name:TEMPEST
Other - Last Name:HUGHES-MENDEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW-S
Mailing Address - Street 1:1029 GATE CREEK LN
Mailing Address - Street 2:
Mailing Address - City:SCHERTZ
Mailing Address - State:TX
Mailing Address - Zip Code:78154-2823
Mailing Address - Country:US
Mailing Address - Phone:210-505-9140
Mailing Address - Fax:
Practice Address - Street 1:1029 GATE CREEK LN
Practice Address - Street 2:
Practice Address - City:SCHERTZ
Practice Address - State:TX
Practice Address - Zip Code:78154-2823
Practice Address - Country:US
Practice Address - Phone:210-505-9140
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-19
Last Update Date:2023-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1041C0700X
TX621191041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical