Provider Demographics
NPI:1528738747
Name:KROTZER, DANIELA (PHD LCSW)
Entity type:Individual
Prefix:DR
First Name:DANIELA
Middle Name:
Last Name:KROTZER
Suffix:
Gender:F
Credentials:PHD LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1250 S CAPITAL OF TEXAS HWY STE 400
Mailing Address - Street 2:
Mailing Address - City:WEST LAKE HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:78746-6446
Mailing Address - Country:US
Mailing Address - Phone:817-264-7070
Mailing Address - Fax:
Practice Address - Street 1:1250 S CAPITAL OF TEXAS HWY STE 400
Practice Address - Street 2:
Practice Address - City:WEST LAKE HILLS
Practice Address - State:TX
Practice Address - Zip Code:78746-6446
Practice Address - Country:US
Practice Address - Phone:817-264-7070
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-18
Last Update Date:2023-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX604411041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical