Provider Demographics
NPI:1033488770
Name:MORALES, SEAN (LMSW)
Entity type:Individual
Prefix:
First Name:SEAN
Middle Name:
Last Name:MORALES
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1125 GRANDVIEW DR
Mailing Address - Street 2:
Mailing Address - City:SAN MARCOS
Mailing Address - State:TX
Mailing Address - Zip Code:78666-2061
Mailing Address - Country:US
Mailing Address - Phone:512-740-3887
Mailing Address - Fax:
Practice Address - Street 1:7801 N LAMAR BLVD STE D106
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78752-1036
Practice Address - Country:US
Practice Address - Phone:512-419-1661
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-27
Last Update Date:2011-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX55166104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker