Provider Demographics
NPI:1730239138
Name:MCALPIN, COURTENAY WINFIELD JR (LCSW)
Entity type:Individual
Prefix:MR
First Name:COURTENAY
Middle Name:WINFIELD
Last Name:MCALPIN
Suffix:JR
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2546 E BITTERS RD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78217-4448
Mailing Address - Country:US
Mailing Address - Phone:210-832-8118
Mailing Address - Fax:210-832-9119
Practice Address - Street 1:2546 E BITTERS RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78217-4448
Practice Address - Country:US
Practice Address - Phone:210-832-8118
Practice Address - Fax:210-832-9119
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX253821041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00S44ZMedicare ID - Type Unspecified