Provider Demographics
NPI:1366826000
Name:GREENWOOD, DENISE (LMSW)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:
Last Name:GREENWOOD
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23702 FOREST TRL
Mailing Address - Street 2:
Mailing Address - City:HOCKLEY
Mailing Address - State:TX
Mailing Address - Zip Code:77447-9502
Mailing Address - Country:US
Mailing Address - Phone:281-832-9683
Mailing Address - Fax:
Practice Address - Street 1:23702 FOREST TRL
Practice Address - Street 2:
Practice Address - City:HOCKLEY
Practice Address - State:TX
Practice Address - Zip Code:77447-9502
Practice Address - Country:US
Practice Address - Phone:281-832-9683
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-13
Last Update Date:2015-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX609771041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical