Provider Demographics
NPI:1194267831
Name:KRISHNAMURTHY, CHANDRALEKHA (LCSW)
Entity type:Individual
Prefix:MRS
First Name:CHANDRALEKHA
Middle Name:
Last Name:KRISHNAMURTHY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:CHANDRA
Other - Middle Name:
Other - Last Name:KRISHNAMURTHY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:109 MANOR CT N
Mailing Address - Street 2:
Mailing Address - City:WILLOW PARK
Mailing Address - State:TX
Mailing Address - Zip Code:76087-3002
Mailing Address - Country:US
Mailing Address - Phone:817-522-8263
Mailing Address - Fax:817-441-1916
Practice Address - Street 1:4805 CHEYENNE CT
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76013-5402
Practice Address - Country:US
Practice Address - Phone:817-676-8041
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-11
Last Update Date:2017-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXLCSW 026371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical