| Griselda Pattillo, Lcsw Pllc | |
|
1006 S Rock St Georgetown TX 78626-5837 | |
| (512) 200-7291 | |
| Not Available |
| Full Name | Griselda Pattillo, Lcsw Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 1006 S Rock St, Georgetown, Texas |
| Authorized Official Name and Position | Griselda Onofre Pattillo (THERAPIST) |
| Authorized Official Contact | 8326216570 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Griselda Pattillo, Lcsw Pllc 5900 Balcones Dr Ste 4000 Austin TX 78731-4257 Ph: (512) 200-7291 | Griselda Pattillo, Lcsw Pllc 1006 S Rock St Georgetown TX 78626-5837 Ph: (512) 200-7291 |
| NPI Number | 1821737032 |
|---|---|
| Provider Enumeration Date | 06/04/2022 |
| Last Update Date | 03/20/2023 |
| Certification Date | 03/20/2023 |
| Medicare PECOS PAC ID | 5193160349 |
|---|---|
| Medicare Enrollment ID | O20240228001353 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821737032 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Griselda Onofre Pattillo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396213997 PECOS PAC ID: 6002251253 Enrollment ID: I20240314002123 |
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