Provider Demographics
NPI:1689790818
Name:NIXON, RICHARD STEVEN (LCSW)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:STEVEN
Last Name:NIXON
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:710 VALLEYCREEK RD
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75181-2349
Mailing Address - Country:US
Mailing Address - Phone:972-222-0794
Mailing Address - Fax:
Practice Address - Street 1:710 VALLEYCREEK RD
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75181-2349
Practice Address - Country:US
Practice Address - Phone:972-222-0794
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-21
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX206151041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical