Provider Demographics
NPI:1336162692
Name:BIEVER, PAUL K (LCSW)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:K
Last Name:BIEVER
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6427 LONGHOUSE CT
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78238-1525
Mailing Address - Country:US
Mailing Address - Phone:210-684-1089
Mailing Address - Fax:
Practice Address - Street 1:6427 LONGHOUSE CT
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78238-1525
Practice Address - Country:US
Practice Address - Phone:210-684-1089
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX031451041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical