Provider Demographics
NPI:1356153423
Name:REDMAN, DANIELLE (LCSW-S)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:
Last Name:REDMAN
Suffix:
Gender:F
Credentials:LCSW-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:633 ENGLAND ST
Mailing Address - Street 2:
Mailing Address - City:FATE
Mailing Address - State:TX
Mailing Address - Zip Code:75189-7011
Mailing Address - Country:US
Mailing Address - Phone:512-635-8952
Mailing Address - Fax:
Practice Address - Street 1:633 ENGLAND ST
Practice Address - Street 2:
Practice Address - City:FATE
Practice Address - State:TX
Practice Address - Zip Code:75189-7011
Practice Address - Country:US
Practice Address - Phone:512-635-8952
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-24
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX594811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical