Christiana Nicole Redeaux, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

64384 Issued in TX

Practice address

315 W Magnolia Ave Apt 453
Fort Worth, TX 76104-7701

Phone

(337) 660-7093

NPI assigned

Jun 9, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1654732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1871222141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 W MAGNOLIA AVE APT 453",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761047701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W MAGNOLIA AVE APT 453",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761047701",
            "telephone_number": "337-660-7093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDEAUX",
        "first_name": "CHRISTIANA",
        "middle_name": "NICOLE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-09",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "64384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suchita Reddy, M.D.
• Suman Reddy, M.D.
• Sunil Surasani Reddy, M.D.
• Tarakumar Reddy, M.D.
• Veenadhari T Reddy, MS, RD, LD
• Glenda Marie Redeemer, RN
• David E Redelsperger, RPH, DPH
• Redemption Behavioral Solutions Counseling
• Kirsten Nicole Redfern, DPT
• Tiffany Masters Redfern, M.D.

• Clinical Social Worker in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.