Provider Demographics
NPI:1003543828
Name:WOOD, VERONICA KAITLYN (LCSW)
Entity type:Individual
Prefix:
First Name:VERONICA
Middle Name:KAITLYN
Last Name:WOOD
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:ALEXANDER
Other - Middle Name:JAYE
Other - Last Name:WOOD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:334 BROOKVIEW DR
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75043-2966
Mailing Address - Country:US
Mailing Address - Phone:903-267-0934
Mailing Address - Fax:
Practice Address - Street 1:334 BROOKVIEW DR
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75043-2966
Practice Address - Country:US
Practice Address - Phone:903-267-0934
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-02
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1079981041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical