Provider Demographics
NPI:1669942140
Name:SIGMAN JOHNSON, DEANNA (LCSW)
Entity type:Individual
Prefix:
First Name:DEANNA
Middle Name:
Last Name:SIGMAN JOHNSON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:DEDE
Other - Middle Name:
Other - Last Name:JOHNSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1594 COURMAYEUR CT
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78665-1392
Mailing Address - Country:US
Mailing Address - Phone:713-385-1498
Mailing Address - Fax:
Practice Address - Street 1:14745 HIGHWAY 29
Practice Address - Street 2:SUITE E
Practice Address - City:LI BERTY HILL, TX
Practice Address - State:TX
Practice Address - Zip Code:78642
Practice Address - Country:US
Practice Address - Phone:512-508-8116
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-28
Last Update Date:2019-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX552741041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical