Provider Demographics
NPI:1942092911
Name:AJASIN, SONDRA LEE (LMSW)
Entity type:Individual
Prefix:
First Name:SONDRA
Middle Name:LEE
Last Name:AJASIN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:153 SIENNA WOODS
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:TX
Mailing Address - Zip Code:78124-2158
Mailing Address - Country:US
Mailing Address - Phone:210-840-7083
Mailing Address - Fax:
Practice Address - Street 1:3925 LINNE RD
Practice Address - Street 2:
Practice Address - City:SEGUIN
Practice Address - State:TX
Practice Address - Zip Code:78155-9579
Practice Address - Country:US
Practice Address - Phone:210-840-7083
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-19
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX115443104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker