Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Bethany Moore Polk, LCSW

Individual provider Clinical Social Worker · NPI 1619711645

Bethany Moore Polk, LCSW is a Clinical Social Worker in Fort Sam Houston, Texas. Practices as a sole proprietor and works from 3 locations. Licensed in Texas.

Licensed in
TX
In the registry since
2024
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
Phone: (210) 916-7500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 11901 Toepperwein Rd Ste 1202, Live Oak, TX 78233-3159 — (210) 951-3479
  • 3016 Greenshire Dr, Schertz, TX 78154-3708 — (254) 289-7783

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 66357 (TX)

Record details

NPI number1619711645
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJune 24, 2024
Last updated in NPPESApril 1, 2025
Certification dateApril 1, 2025

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