Provider Demographics
NPI:1932530201
Name:SAINA, DEIDRA (LCSW)
Entity Type:Individual
Prefix:
First Name:DEIDRA
Middle Name:
Last Name:SAINA
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 1:269 FAWN RDG
Mailing Address - Street 2:
Mailing Address - City:CIBOLO
Mailing Address - State:TX
Mailing Address - Zip Code:78108-4206
Mailing Address - Country:US
Mailing Address - Phone:785-341-6655
Mailing Address - Fax:
Practice Address - Street 1:109 MANOR CT N
Practice Address - Street 2:
Practice Address - City:WILLOW PARK
Practice Address - State:TX
Practice Address - Zip Code:76087-3002
Practice Address - Country:US
Practice Address - Phone:817-522-8263
Practice Address - Fax:817-441-1916
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-11
Last Update Date:2016-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX584391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical