Provider Demographics
NPI:1669949921
Name:WALTER, ELIZABETH S (LCSW)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:S
Last Name:WALTER
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 1:14819 WILMINGTON
Mailing Address - Street 2:
Mailing Address - City:SCHERTZ
Mailing Address - State:TX
Mailing Address - Zip Code:78154-1365
Mailing Address - Country:US
Mailing Address - Phone:830-212-1663
Mailing Address - Fax:
Practice Address - Street 1:4100 E PIEDRAS DR STE 265
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78228-1426
Practice Address - Country:US
Practice Address - Phone:210-757-3782
Practice Address - Fax:888-592-0406
Is Sole Proprietor?:No
Enumeration Date:2018-10-25
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1053441041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical