Provider Demographics
NPI:1972090371
Name:ESPINOSA, ANGELINA (LCSW)
Entity type:Individual
Prefix:MS
First Name:ANGELINA
Middle Name:
Last Name:ESPINOSA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2208 PRIMROSE AVE STE E
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-4162
Mailing Address - Country:US
Mailing Address - Phone:956-468-3310
Mailing Address - Fax:956-468-3311
Practice Address - Street 1:2208 PRIMROSE AVE STE E
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-4162
Practice Address - Country:US
Practice Address - Phone:956-468-3310
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-20
Last Update Date:2022-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX174400000X
TX606901041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No174400000XOther Service ProvidersSpecialistGroup - Single Specialty