Provider Demographics
NPI:1598916827
Name:ZIEGENFUSS, CARREN E (LCSW)
Entity Type:Individual
Prefix:
First Name:CARREN
Middle Name:E
Last Name:ZIEGENFUSS
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 1:4304 MESA DR
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76207-3434
Mailing Address - Country:US
Mailing Address - Phone:502-724-6044
Mailing Address - Fax:
Practice Address - Street 1:4304 MESA DR
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76207-3434
Practice Address - Country:US
Practice Address - Phone:502-724-6044
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-06
Last Update Date:2021-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX606521041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical