Provider Demographics
NPI:1487969358
Name:HAFFORD, JANAE CHRISTINE (LCSW)
Entity type:Individual
Prefix:
First Name:JANAE
Middle Name:CHRISTINE
Last Name:HAFFORD
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:JANAE
Other - Middle Name:CHRISTINE
Other - Last Name:HAMPTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:5526 MANDARIN WAY
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75249-2208
Mailing Address - Country:US
Mailing Address - Phone:817-841-9075
Mailing Address - Fax:
Practice Address - Street 1:5526 MANDARIN WAY
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75249-2208
Practice Address - Country:US
Practice Address - Phone:817-841-9075
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-16
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX35375171M00000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No171M00000XOther Service ProvidersCase Manager/Care Coordinator