| Grace Castillo Lcsw, Pllc | |
|
1311 Chisholm Trl Suite 301 Round Rock TX 78681-2968 | |
| (512) 426-1455 | |
| Not Available |
| Full Name | Grace Castillo Lcsw, Pllc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1311 Chisholm Trl, Round Rock, Texas |
| Authorized Official Name and Position | Grace M Castillo (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 5124261455 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Castillo Lcsw, Pllc 1311 Chisholm Trl Suite 301 Round Rock TX 78681-2968 Ph: (512) 426-1455 | Grace Castillo Lcsw, Pllc 1311 Chisholm Trl Suite 301 Round Rock TX 78681-2968 Ph: (512) 426-1455 |
| NPI Number | 1871911487 |
|---|---|
| Provider Enumeration Date | 04/01/2014 |
| Last Update Date | 09/03/2014 |
| Medicare PECOS PAC ID | 3678790383 |
|---|---|
| Medicare Enrollment ID | O20140804001043 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871911487 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 25468 (Texas) | Primary |
| Provider Name | Grace M Castillo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588851224 PECOS PAC ID: 9234253501 Enrollment ID: I20100824000803 |
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