Provider Demographics
NPI:1750431037
Name:PADORR, AUDREY (LMSW)
Entity type:Individual
Prefix:MS
First Name:AUDREY
Middle Name:
Last Name:PADORR
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 1:4825 DAVIS LN
Mailing Address - Street 2:APARTMENT 916
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78749-4540
Mailing Address - Country:US
Mailing Address - Phone:512-301-4342
Mailing Address - Fax:
Practice Address - Street 1:4825 DAVIS LN
Practice Address - Street 2:APARTMENT 916
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78749-4540
Practice Address - Country:US
Practice Address - Phone:512-301-4342
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX117551041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical