Provider Demographics
NPI:1629636519
Name:AUKERMAN, JODIE (LCSW)
Entity type:Individual
Prefix:
First Name:JODIE
Middle Name:
Last Name:AUKERMAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2210 WEISS LN
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78626-8186
Mailing Address - Country:US
Mailing Address - Phone:956-472-9127
Mailing Address - Fax:
Practice Address - Street 1:1502 BLUE RIDGE DR STE 300
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78626-1002
Practice Address - Country:US
Practice Address - Phone:956-472-9127
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-05
Last Update Date:2025-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX588011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical