MS. RENESE ANN SUPER (NPI# 1336777010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336777010 |
| Entity Type | Individual |
| Full Name | MS. RENESE ANN SUPER |
| Other Name | MISS RENESE ANN MERCIER |
| Credential | LCSW |
| Practice Address |
12333 Red Birch Ln Fort Worth TX 76244-4597 |
| Practice Telephone | 8174031298 |
| Mailing Telephone | 8174031298 |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2020-03-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
56590 | TX | Behavioral Health & Social Service Providers |
| Street Address |
12333 RED BIRCH LN |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76244-4597 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773510 | Aum Nitin Patel | Optometrist | 12584 N Beach Street #122, Keller, TX 76244 | 2020-09-07 |
| 1477178374 | Trinity Spine and Orthopedics, Pllc | Orthopaedic Surgery | 4444 Heritage Trace, Suite 408, Keller, TX 76244 | 2020-06-16 |
| 1235778622 | Hope Family Healthcare LLC | Nurse Practitioner | 4610 Heritage Trace Pkwy, Ste 400, Keller, TX 76244 | 2020-01-02 |
| 1104468917 | Kylie Ann Montgomery | Behavior Technician | 12650 N Beach St Suite 146, Fort Worth, TX 76244 | 2019-10-14 |
| 1376193433 | Ntkc - Dfw, Pllc | Internal Medicine | 10700 Victoria Ash Dr., Keller, TX 76244 | 2019-09-19 |
| 1629628532 | Today Dental of Saginaw Pllc | Dentist | 1628 Basswood Blvd, Fort Worth, TX 76244 | 2019-09-13 |
| 1962050492 | Precision Ambulatory Surgery Center, LLC | Ophthalmology | 9439 North Beach Street, Fort Worth, TX 76244 | 2019-08-28 |
| 1770145351 | Texas Health Spine Surgery Center Alliance LLC | Clinic/Center | 10900 Founders Way, Suite 100, Fort Worth, TX 76244 | 2019-07-03 |
| 1770048720 | Robin Jansen | Occupational Therapy Assistant | 4317 Oak Chase Dr, Keller, TX 76244 | 2019-02-04 |
| 1033687256 | Marian Abibatu James | Nurse Practitioner | 4516 Jaylin St, Keller, TX 76244 | 2018-11-06 |
| Find all providers in zip 76244 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410756 | Cowtown Counseling Pllc | Social Worker | 3270 Marys Ln, Fort Worth, TX 76116-4328 | 2020-08-31 |
| 1437762770 | Brandi Lashay Rhoden | Social Worker | 1720 Birds Eye Rd, Fort Worth, TX 76177-7548 | 2020-08-26 |
| 1063023067 | Brianna Snow | Social Worker | 2900 Race St Apt 156, Fort Worth, TX 76111-4170 | 2020-08-12 |
| 1871118745 | Raven Temeka Brown-mckinney | Social Worker | 7609 Bancroft Cir, Fort Worth, TX 76120-2491 | 2020-06-16 |
| 1356965123 | Courtney Shipp | Social Worker | 9211 Dale Lane Ct Apt 248, Fort Worth, TX 76108-2655 | 2020-06-08 |
| 1457974966 | Roberta Christine Mcknight-dupas | Social Worker | 6908 Greenlee St, Fort Worth, TX 76112-5602 | 2020-05-19 |
| 1194358499 | Karen Brooks | Social Worker | 8551 Boat Club Rd Ste 115, Fort Worth, TX 76179-3674 | 2020-02-15 |
| 1851922728 | Melissa Dawn Monteiro | Social Worker | 1307 8th Ave Ste 301, Fort Worth, TX 76104-4140 | 2020-01-30 |
| 1417588369 | Ann Keith | Social Worker | 225 Casa Blanca Ave, Fort Worth, TX 76107-7720 | 2020-01-29 |
| 1982234464 | Maria R Woods | Social Worker | 8333 Trace Ridge Pkwy, Fort Worth, TX 76137-5936 | 2020-01-23 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76244 |
Please comment or provide details below to improve the information on MS. RENESE ANN SUPER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.