Provider Demographics
NPI:1063696086
Name:CASTELLANOS, ANAMARIA RODRIGUEZ (LMSW)
Entity type:Individual
Prefix:MRS
First Name:ANAMARIA
Middle Name:RODRIGUEZ
Last Name:CASTELLANOS
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 1:9330 LBJ FWY
Mailing Address - Street 2:SUITE 790
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-3436
Mailing Address - Country:US
Mailing Address - Phone:214-575-2999
Mailing Address - Fax:
Practice Address - Street 1:9330 LBJ FWY
Practice Address - Street 2:SUITE 790
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-3436
Practice Address - Country:US
Practice Address - Phone:214-575-2999
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-27
Last Update Date:2011-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX52393171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator