Provider Demographics
NPI:1447465919
Name:HOGAN, DAVID STERLING (LCSW)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:STERLING
Last Name:HOGAN
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8330 MEADOW RD
Mailing Address - Street 2:STE. 114
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-3767
Mailing Address - Country:US
Mailing Address - Phone:214-957-6902
Mailing Address - Fax:214-750-1971
Practice Address - Street 1:8330 MEADOW RD
Practice Address - Street 2:STE. 114
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-3767
Practice Address - Country:US
Practice Address - Phone:214-957-6902
Practice Address - Fax:214-750-1971
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13126101YM0800X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health