Provider Demographics
NPI:1447636964
Name:MONTERROZA, HAZZEL (LCSW)
Entity type:Individual
Prefix:
First Name:HAZZEL
Middle Name:
Last Name:MONTERROZA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:HAZZEL
Other - Middle Name:TATIANA
Other - Last Name:MONTERROZA ROMERO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:17202 HAWKS LANDING DR
Mailing Address - Street 2:
Mailing Address - City:HOCKLEY
Mailing Address - State:TX
Mailing Address - Zip Code:77447-7669
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:12340 JONES RD STE 290
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-3129
Practice Address - Country:US
Practice Address - Phone:832-756-2749
Practice Address - Fax:859-201-1151
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-06
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX612061041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1447696964Medicaid