Provider Demographics
NPI:1447028378
Name:HOWARD, CARRIE (LCSW)
Entity type:Individual
Prefix:
First Name:CARRIE
Middle Name:
Last Name:HOWARD
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 1:1425 SHAKER HILLS RD
Mailing Address - Street 2:
Mailing Address - City:GUNTER
Mailing Address - State:TX
Mailing Address - Zip Code:75058-4268
Mailing Address - Country:US
Mailing Address - Phone:214-529-1169
Mailing Address - Fax:
Practice Address - Street 1:1425 SHAKER HILLS RD
Practice Address - Street 2:
Practice Address - City:GUNTER
Practice Address - State:TX
Practice Address - Zip Code:75058-4268
Practice Address - Country:US
Practice Address - Phone:214-529-1169
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-20
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX587401041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical