Individual provider · Type 1 NPI

Kiante Vaughn Conger, LMSW

Clinical Social Worker · Fort Worth, TX

NPI number 1609627504 Active

Practice location

6300 John Ryan Dr
Fort Worth, TX 76132-4122

Call (817) 922-5995 Map

Fax (817) 922-5955

Mailing address

PO Box 33568
San Diego, CA 92163-3568

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Clinical Social Worker Primary 1041C0700X110963 (TX)

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 1609627504

Kiante Vaughn Conger, LMSW's National Provider Identifier is 1609627504, issued on Mar 28, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fort Worth, TX. The record was last updated on May 26, 2026.