Individual provider · Type 1 NPI

Coral Fantasia, MSW, LCSW

Clinical Social Worker · Cedar Park, TX

NPI number 1114663945 Active

Practice location

3000 Polar Ln Ste 101
Cedar Park, TX 78613-3065

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X113615 (TX)
Clinical Social Worker 1041C0700XIC-1932 (NV)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1114663945

Coral Fantasia, MSW, LCSW's National Provider Identifier is 1114663945, issued on May 5, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Cedar Park, TX. The record was last updated on Nov 11, 2024.