Individual provider · Type 1 NPI

Karanequa Latrice Bagnerise, LCSW

Clinical Social Worker · Richardson, TX

NPI number 1790145878 Active

Practice location

5603 Stonehenge Dr
Richardson, TX 75082-4027

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X26080 (FL)
Clinical Social Worker 1041C0700X109080 (TX)
Clinical Social Worker Primary 1041C0700XCSW.09933869 (CO)

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 1790145878

Karanequa Latrice Bagnerise, LCSW's National Provider Identifier is 1790145878, issued on Mar 2, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Richardson, TX. The record was last updated on Oct 29, 2026.