Provider Demographics
NPI:1851573604
Name:DEQUEANT, STEVEN (LCSW)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:
Last Name:DEQUEANT
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:PO BOX 175195
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76003-5195
Mailing Address - Country:US
Mailing Address - Phone:817-875-6693
Mailing Address - Fax:
Practice Address - Street 1:5300 W ARKANSAS LN
Practice Address - Street 2:SUITE 116
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76016-1272
Practice Address - Country:US
Practice Address - Phone:817-875-6693
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-04
Last Update Date:2012-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX151651041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical