Provider Demographics
NPI:1609063684
Name:NEVAREZ, FELICIA RENE' (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:FELICIA
Middle Name:RENE'
Last Name:NEVAREZ
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 1:3611 SWISS AVE
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75204-6245
Mailing Address - Country:US
Mailing Address - Phone:214-818-2602
Mailing Address - Fax:214-818-2645
Practice Address - Street 1:4001 W 15TH ST STE 465
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-5845
Practice Address - Country:US
Practice Address - Phone:214-557-1798
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-03
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX358471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical