Provider Demographics
NPI:1134983653
Name:WARNER, NIKKI N
Entity type:Individual
Prefix:
First Name:NIKKI
Middle Name:N
Last Name:WARNER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:NIKKI
Other - Middle Name:N
Other - Last Name:BOWERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW QMHPS
Mailing Address - Street 1:4100 SPRING VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75244-3629
Mailing Address - Country:US
Mailing Address - Phone:469-854-9052
Mailing Address - Fax:214-279-6374
Practice Address - Street 1:4100 SPRING VALLEY RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75244-3629
Practice Address - Country:US
Practice Address - Phone:469-854-9052
Practice Address - Fax:214-279-6374
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-07
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty