Mr Timothy Cruz Perez, LCSW, LCDC is a
Social Worker - Clinical based in Round Rock, Texas. Mr Timothy Cruz Perez is licensed to practice in Texas (license number 65462) and his current practice location is
1009 N Georgetown St, Round Rock, Texas. He can be reached at his office (for appointments etc.) via phone at
(512) 255-1720.
NPI number for Mr Timothy Cruz Perez is 1124516554 and his current mailing address is 5400 N Lamar Blvd Apt 2051, Austin, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1124516554.
Healthcare Provider's Profile
| Full Name | Mr Timothy Cruz Perez |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 1009 N Georgetown St, Round Rock, Texas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1124516554
- Provider Enumeration Date: 05/01/2018
- Last Update Date: 03/25/2021
Medical Identifiers
Medical identifiers for Mr Timothy Cruz Perez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124516554 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 14145 (Texas) | Secondary |
| 1041C0700X | Social Worker - Clinical | 65462 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Timothy Cruz Perez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Timothy Cruz Perez, LCSW, LCDC
5400 N Lamar Blvd Apt 2051,
Austin, TX 78751-5425
Ph: (254) 231-5693 | Mr Timothy Cruz Perez, LCSW, LCDC
1009 N Georgetown St,
Round Rock, TX 78664-3289
Ph: (512) 255-1720 |
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