Provider Demographics
NPI:1508689795
Name:AMADOR, GLADYS CLAUDIA (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:GLADYS
Middle Name:CLAUDIA
Last Name:AMADOR
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9931 HYATT RESORT DR APT 1030
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78251-4174
Mailing Address - Country:US
Mailing Address - Phone:210-580-4633
Mailing Address - Fax:
Practice Address - Street 1:9931 HYATT RESORT DR APT 1030
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78251-4174
Practice Address - Country:US
Practice Address - Phone:210-580-4633
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-05
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1069831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical