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Provider Information for 1568981066


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Mr. CHARLES ANDREW MCCALL LCSW


Sex: Male

NPI: 1568981066
Last Updated: 2025-01-29
Certification Date: 2025-01-29

Details

NameValue
NPI1568981066
Enumeration Date2017-09-15
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 526 HUNTON LN
WACO, TX 76706-5200
United States

Phone: 254-733-6870 | Fax:
 
Primary Practice Address 7272 WURZBACH RD STE 706
SAN ANTONIO, TX 78240-4803
United States

Phone: 210-615-3483 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)AZ22312License
Other (non-Medicare)TX53008License
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 1041C0700X - Social Worker - ClinicalAZ22312
Yes 1041C0700X - Social Worker - ClinicalTX53008