Provider Demographics
NPI:1952400616
Name:WELCH, BARBARA BEAVERS (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:BEAVERS
Last Name:WELCH
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 1:138 ENCINO BLANCO
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78232-3813
Mailing Address - Country:US
Mailing Address - Phone:210-490-7450
Mailing Address - Fax:210-490-7450
Practice Address - Street 1:1731 N COMAL
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78212-4214
Practice Address - Country:US
Practice Address - Phone:210-685-6767
Practice Address - Fax:210-481-7175
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2008-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX21291041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX88374HMedicare PIN