MRS. DOLORES THERESE REDDICK LCSW LCDC NPI 1679689673

NPI Information

  • NPI: 1679689673
  • Provider Name: MRS. DOLORES THERESE REDDICK, LCSW, LCDC
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4415 W PIEDRAS DR
    SUITE 208
    SAN ANTONIO, TX
    ZIP 78228
  • Phone: (210) 733-9929

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NPI Details

MRS. Dolores Therese Reddick, LCSW, LCDC is an addiction (substance use disorder) counselor in San Antonio, TX. MRS. Dolores Therese Reddick, LCSW, LCDC NPI is 1679689673. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4415 W PIEDRAS DR
SUITE 208
SAN ANTONIO, TX
ZIP 78228-216
Phone: (210) 733-9929
Fax: (210) 733-9916

The NPI 1679689673 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 8/22/2006 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)6460TEXASYes
2104100000XSocial Worker27629TEXASNo
31041C0700XSocial WorkerClinical27629TEXASNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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