Provider Demographics
NPI:1982359378
Name:LAWHORN, JOAN MARIE (LCSW)
Entity Type:Individual
Prefix:
First Name:JOAN
Middle Name:MARIE
Last Name:LAWHORN
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 1:10037 TEHAMA RIDGE PKWY
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76177-7395
Mailing Address - Country:US
Mailing Address - Phone:469-583-0880
Mailing Address - Fax:
Practice Address - Street 1:10037 TEHAMA RIDGE PKWY
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76177-7395
Practice Address - Country:US
Practice Address - Phone:469-583-0880
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-15
Last Update Date:2022-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX332211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical