Provider Demographics
NPI:1841726569
Name:SAENZ, ELMA (LCSW, LCDC)
Entity type:Individual
Prefix:
First Name:ELMA
Middle Name:
Last Name:SAENZ
Suffix:
Gender:F
Credentials:LCSW, LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:802 E CRESTWOOD DR
Mailing Address - Street 2:
Mailing Address - City:VICTORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77901-3309
Mailing Address - Country:US
Mailing Address - Phone:361-576-4673
Mailing Address - Fax:361-576-6557
Practice Address - Street 1:802 E CRESTWOOD DR
Practice Address - Street 2:
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77901-3309
Practice Address - Country:US
Practice Address - Phone:361-576-4673
Practice Address - Fax:361-576-6557
Is Sole Proprietor?:No
Enumeration Date:2017-05-02
Last Update Date:2024-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13736101YA0400X
TX63546104100000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No104100000XBehavioral Health & Social Service ProvidersSocial Worker