Provider Demographics
NPI:1306651708
Name:KRAAN, KATHRYN OGDEN (LCSW)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:OGDEN
Last Name:KRAAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11703 S FM 730
Mailing Address - Street 2:
Mailing Address - City:AZLE
Mailing Address - State:TX
Mailing Address - Zip Code:76020-2713
Mailing Address - Country:US
Mailing Address - Phone:817-203-3969
Mailing Address - Fax:
Practice Address - Street 1:11703 S FM 730
Practice Address - Street 2:
Practice Address - City:AZLE
Practice Address - State:TX
Practice Address - Zip Code:76020-2713
Practice Address - Country:US
Practice Address - Phone:817-203-3969
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-11
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX616761041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical