Provider Demographics
NPI:1235688789
Name:RAFF, JOAN DANZE (LCSW)
Entity Type:Individual
Prefix:
First Name:JOAN
Middle Name:DANZE
Last Name:RAFF
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 1:4718 HALLMARK DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75229-2942
Mailing Address - Country:US
Mailing Address - Phone:214-363-1194
Mailing Address - Fax:
Practice Address - Street 1:8117 PRESTON RD
Practice Address - Street 2:SUITE 300
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75225-6332
Practice Address - Country:US
Practice Address - Phone:214-706-9100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-26
Last Update Date:2016-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX148191041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical