Individual
ENRIQUE SALDIVAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
601 UNIVERSITY DR, SUITE #105, FORT WORTH, TX 76107-2168
(817) 360-2983
(817) 386-5880
Mailing address
601 UNIVERSITY DR, SUITE #105, FORT WORTH, TX 76107-2168
(817) 360-2983
(817) 386-5880
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
32064
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007HC
BLUE CROSS BLUE SHIELD
TX
05
—
195828202
—
TX
01
—
7759307
AETNA BEHAV. HEALTH
TX
Enumeration date
09/05/2006
Last updated
02/20/2009
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