Provider Demographics
NPI:1689938680
Name:GIRALDO, NANCY E (LCSW)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:E
Last Name:GIRALDO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:E
Other - Last Name:RODRIGUEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2729 DOROTHY DR
Mailing Address - Street 2:
Mailing Address - City:CLEBURNE
Mailing Address - State:TX
Mailing Address - Zip Code:76031-0387
Mailing Address - Country:US
Mailing Address - Phone:817-264-7284
Mailing Address - Fax:
Practice Address - Street 1:1607 N MAIN ST
Practice Address - Street 2:STE A
Practice Address - City:CLEBURNE
Practice Address - State:TX
Practice Address - Zip Code:76033-3875
Practice Address - Country:US
Practice Address - Phone:817-264-6194
Practice Address - Fax:866-372-7985
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-25
Last Update Date:2021-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX236831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical