Provider Demographics
NPI:1770158933
Name:HUSVAR, KARRIE HUSVAR (LCSW)
Entity type:Individual
Prefix:
First Name:KARRIE
Middle Name:HUSVAR
Last Name:HUSVAR
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 1:8626 SEGURA WAY
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78254-4902
Mailing Address - Country:US
Mailing Address - Phone:512-876-1814
Mailing Address - Fax:
Practice Address - Street 1:8626 SEGURA WAY
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78254-4902
Practice Address - Country:US
Practice Address - Phone:512-876-1814
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-20
Last Update Date:2021-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX590851041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical