Provider Demographics
NPI:1265287700
Name:LAL, SARINA (LMSW)
Entity type:Individual
Prefix:MS
First Name:SARINA
Middle Name:
Last Name:LAL
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15916 CINCA TERRA DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78738-4080
Mailing Address - Country:US
Mailing Address - Phone:630-656-4897
Mailing Address - Fax:
Practice Address - Street 1:15916 CINCA TERRA DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78738-4080
Practice Address - Country:US
Practice Address - Phone:630-656-4897
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-18
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX111596104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker