Provider Demographics
NPI:1730919218
Name:APODACA, SOLEDAD NERI (LMSW)
Entity type:Individual
Prefix:
First Name:SOLEDAD
Middle Name:NERI
Last Name:APODACA
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4920 ADRIAN CAMPOS ST
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79938-4580
Mailing Address - Country:US
Mailing Address - Phone:915-238-0555
Mailing Address - Fax:
Practice Address - Street 1:4920 ADRIAN CAMPOS ST
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79938-4580
Practice Address - Country:US
Practice Address - Phone:915-238-0555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-07
Last Update Date:2024-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX65092104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker