Provider Demographics
NPI:1841744190
Name:VIVERETTE, APRIL C (LCSW)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:C
Last Name:VIVERETTE
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 1:5923 COYOTE ECHO DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-1707
Mailing Address - Country:US
Mailing Address - Phone:832-641-2789
Mailing Address - Fax:
Practice Address - Street 1:5923 COYOTE ECHO DR
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-1707
Practice Address - Country:US
Practice Address - Phone:832-641-2789
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-03
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE21391041C0700X
ORL122891041C0700X
171M00000X
TX402801041C0700X
CA1111161041C0700X
IL1490187731041C0700X
OK52061041C0700X
OHI.21026581041C0700X
MTBBH-LCSW-LIC-389221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty