Provider Demographics
NPI:1225184567
Name:WARNER, KAYLENE DENISE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:KAYLENE
Middle Name:DENISE
Last Name:WARNER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 294643
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75029-4643
Mailing Address - Country:US
Mailing Address - Phone:940-455-7070
Mailing Address - Fax:940-455-7001
Practice Address - Street 1:2648 FM 407 E
Practice Address - Street 2:SUITE #235
Practice Address - City:BARTONVILLE
Practice Address - State:TX
Practice Address - Zip Code:76226-7006
Practice Address - Country:US
Practice Address - Phone:940-455-7070
Practice Address - Fax:940-455-7001
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX376701041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical