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

Mr. Marney Wayne Defoore, LCSW

Individual provider Clinical Social Worker · NPI 1669619409

Mr. Marney Wayne Defoore, LCSW is a Clinical Social Worker in San Antonio, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2009
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

4203 Woodcock Dr Ste 202
San Antonio, TX 78228-1312
Phone: (210) 883-7877
Fax: (888) 366-6472
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 37462 (TX)

Record details

NPI number1669619409
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJanuary 15, 2009
Last updated in NPPESOctober 13, 2016

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