Individual provider · Type 1 NPI

Edna Jacqueline Garcia Tello

Clinical Social Worker · Live Oak, TX

NPI number 1194698993 Active

Practice location

11901 Toepperwein Rd Ste 1202
Live Oak, TX 78233-3159

Fax (833) 672-2760

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X116531 (TX)

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 1194698993

Edna Jacqueline Garcia Tello's National Provider Identifier is 1194698993, issued on Sep 26, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Live Oak, TX. The record was last updated on Sep 26, 2025.