Provider Demographics
NPI:1013742543
Name:CARLSON-HARGIS, CIARA NICOLE (LMSW)
Entity type:Individual
Prefix:
First Name:CIARA
Middle Name:NICOLE
Last Name:CARLSON-HARGIS
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:CIARA
Other - Middle Name:NICOLE
Other - Last Name:CARLSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1204 ELM ST
Mailing Address - Street 2:
Mailing Address - City:SANGER
Mailing Address - State:TX
Mailing Address - Zip Code:76266-4636
Mailing Address - Country:US
Mailing Address - Phone:214-543-6080
Mailing Address - Fax:
Practice Address - Street 1:6160 WARREN PKWY STE 100
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-9415
Practice Address - Country:US
Practice Address - Phone:214-799-3804
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-04
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1132921041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical