Provider Demographics
NPI:1518706639
Name:VARNADO, NAKIBA DANIELLE (LCSW)
Entity type:Individual
Prefix:MRS
First Name:NAKIBA
Middle Name:DANIELLE
Last Name:VARNADO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:NAKIBA
Other - Middle Name:DANIELLE
Other - Last Name:PRUITT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:521 MAGNOLIA LN
Mailing Address - Street 2:
Mailing Address - City:GLENN HEIGHTS
Mailing Address - State:TX
Mailing Address - Zip Code:75154-2123
Mailing Address - Country:US
Mailing Address - Phone:214-577-3817
Mailing Address - Fax:
Practice Address - Street 1:521 MAGNOLIA LN
Practice Address - Street 2:
Practice Address - City:GLENN HEIGHTS
Practice Address - State:TX
Practice Address - Zip Code:75154-2123
Practice Address - Country:US
Practice Address - Phone:945-542-0617
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-20
Last Update Date:2024-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1052501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical