Provider Demographics
NPI:1992950596
Name:DATO, DARIA (LCSW-S)
Entity type:Individual
Prefix:
First Name:DARIA
Middle Name:
Last Name:DATO
Suffix:
Gender:
Credentials:LCSW-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 596
Mailing Address - Street 2:
Mailing Address - City:LAKE DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75065-0596
Mailing Address - Country:US
Mailing Address - Phone:214-361-5630
Mailing Address - Fax:214-739-4026
Practice Address - Street 1:1990 JUSTIN RD STE 200
Practice Address - Street 2:
Practice Address - City:HIGHLAND VILLAGE
Practice Address - State:TX
Practice Address - Zip Code:75077-2151
Practice Address - Country:US
Practice Address - Phone:214-361-5630
Practice Address - Fax:214-739-4026
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-24
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX40492104100000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker