Provider Demographics
NPI:1972104677
Name:ALFARO, SANDRA (LCSW-S)
Entity type:Individual
Prefix:
First Name:SANDRA
Middle Name:
Last Name:ALFARO
Suffix:
Gender:F
Credentials:LCSW-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201A HILL RD
Mailing Address - Street 2:
Mailing Address - City:SMITHVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78957-9533
Mailing Address - Country:US
Mailing Address - Phone:512-360-5272
Mailing Address - Fax:512-360-5273
Practice Address - Street 1:1201A HILL RD
Practice Address - Street 2:
Practice Address - City:SMITHVILLE
Practice Address - State:TX
Practice Address - Zip Code:78957-9533
Practice Address - Country:US
Practice Address - Phone:512-360-5272
Practice Address - Fax:512-699-5029
Is Sole Proprietor?:No
Enumeration Date:2020-11-08
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX61534104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker