Provider Demographics
NPI:1073938353
Name:KERR KASTRIS, DANIELLE K (LICSW)
Entity Type:Individual
Prefix:MRS
First Name:DANIELLE
Middle Name:K
Last Name:KERR KASTRIS
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:DANIELLE
Other - Middle Name:K
Other - Last Name:KERR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:334 CANOE DR
Mailing Address - Street 2:
Mailing Address - City:HARKER HEIGHTS
Mailing Address - State:TX
Mailing Address - Zip Code:76548-7463
Mailing Address - Country:US
Mailing Address - Phone:269-720-1165
Mailing Address - Fax:
Practice Address - Street 1:302 MILLERS XING STE 4
Practice Address - Street 2:
Practice Address - City:HARKER HEIGHTS
Practice Address - State:TX
Practice Address - Zip Code:76548-5660
Practice Address - Country:US
Practice Address - Phone:254-953-7100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-24
Last Update Date:2021-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
WALW610273471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health