Provider Demographics
NPI:1477366243
Name:ORNELAS, CRISELDA (LCSW)
Entity type:Individual
Prefix:
First Name:CRISELDA
Middle Name:
Last Name:ORNELAS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8815 MEL C GREY RD
Mailing Address - Street 2:
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78599-2998
Mailing Address - Country:US
Mailing Address - Phone:956-363-5501
Mailing Address - Fax:
Practice Address - Street 1:8815 MEL C GREY RD
Practice Address - Street 2:
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78599-2998
Practice Address - Country:US
Practice Address - Phone:956-363-5501
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-27
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1037191041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical