Individual provider · Type 1 NPI

Shad Levi Stout

Clinical Social Worker · San Antonio, TX

NPI number 1942935648 Active

Practice location

1401 Dezarae Apt 3
San Antonio, TX 78253-5986

Call (210) 529-8410 Map

Mailing address

8903 Veranda Ct
San Antonio, TX 78250-2609

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X108250 (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 1942935648

Shad Levi Stout's National Provider Identifier is 1942935648, issued on Jul 18, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Antonio, TX. The record was last updated on Mar 18, 2026.