NPI 1871265082 · live from the CMS NPI Registry
Laura A Addicks, LCSW
Social Worker, Clinical in Mansfield, TX. National Provider Identifier 1871265082, active.
NPI record
| NPI | 1871265082 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 602 Dover Heights Trl, Mansfield, TX 76063 |
| Practice phone | 717-734-8072 |
| Enumerated | October 5, 2021 |
| Last updated | October 5, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | 41087 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.