Provider Demographics
NPI:1578393542
Name:CABALLERO, GISEL ARLETTE (LCSW)
Entity type:Individual
Prefix:
First Name:GISEL
Middle Name:ARLETTE
Last Name:CABALLERO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3817 S MIRROR ST
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79118-7717
Mailing Address - Country:US
Mailing Address - Phone:806-922-5195
Mailing Address - Fax:
Practice Address - Street 1:3817 S MIRROR ST
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79118-7717
Practice Address - Country:US
Practice Address - Phone:806-922-5195
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-05
Last Update Date:2024-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1074411041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical