Individual provider · Type 1 NPI

Elizabeth Irene Mederos, LMSW

Clinical Social Worker · Fort Worth, TX

NPI number 1083476451 Active

Practice location

3840 Hulen St
Fort Worth, TX 76107-7277

Call (817) 335-3022 Map

Mailing address

PO Box 2603
Fort Worth, TX 76113-2603

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X107498 (TX)
Clinical Social Worker Primary 1041C0700XNone listed

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1083476451

Elizabeth Irene Mederos, LMSW's National Provider Identifier is 1083476451, issued on Jan 30, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fort Worth, TX. The record was last updated on Jul 2, 2025.