Provider Demographics
NPI:1386175198
Name:NANCY SHEPPARD ALDERMAN, PLLC
Entity type:Organization
Organization Name:NANCY SHEPPARD ALDERMAN, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:SHEPPARD
Authorized Official - Last Name:ALDERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:512-577-5998
Mailing Address - Street 1:13625 POND SPRINGS RD
Mailing Address - Street 2:106
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78729-4427
Mailing Address - Country:US
Mailing Address - Phone:512-577-5998
Mailing Address - Fax:512-485-2432
Practice Address - Street 1:13625 POND SPRINGS RD
Practice Address - Street 2:106
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78729-4427
Practice Address - Country:US
Practice Address - Phone:512-577-5998
Practice Address - Fax:512-485-2432
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-23
Last Update Date:2017-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX201111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty