Individual provider · Type 1 NPI

Emanuel Pereda

Clinical Social Worker · Fort Worth, TX

NPI number 1750213971 Active

Practice location

5150 Trail Lake Dr
Fort Worth, TX 76133-2030

Call (817) 380-8115 Map

Mailing address

4821 Harlan Ave
Fort Worth, TX 76132-1509

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1750213971

Emanuel Pereda's National Provider Identifier is 1750213971, issued on Jun 1, 2026. 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 Jun 1, 2026.