Provider Demographics
NPI:1992903033
Name:CALVILLO, SYLVIA (LBSW, CIRS)
Entity type:Individual
Prefix:MRS
First Name:SYLVIA
Middle Name:
Last Name:CALVILLO
Suffix:
Gender:F
Credentials:LBSW, CIRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 COMMERCE BLVD
Mailing Address - Street 2:SUITE 114
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78664-2184
Mailing Address - Country:US
Mailing Address - Phone:512-248-3252
Mailing Address - Fax:512-248-3286
Practice Address - Street 1:211 COMMERCE BLVD
Practice Address - Street 2:SUITE 114
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78664-2184
Practice Address - Country:US
Practice Address - Phone:512-248-3252
Practice Address - Fax:512-248-3286
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-10
Last Update Date:2007-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX31348171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator