Provider Demographics
NPI:1871487413
Name:STEPTOE, JALISA RHENA (LCSW)
Entity type:Individual
Prefix:MRS
First Name:JALISA
Middle Name:RHENA
Last Name:STEPTOE
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 1:1738 GANO ST
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75215-1210
Mailing Address - Country:US
Mailing Address - Phone:972-619-7445
Mailing Address - Fax:972-619-7445
Practice Address - Street 1:1738 GANO ST
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75215-1210
Practice Address - Country:US
Practice Address - Phone:972-619-7445
Practice Address - Fax:972-619-7445
Is Sole Proprietor?:No
Enumeration Date:2025-06-06
Last Update Date:2025-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX680791041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical