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MS. RENESE ANN SUPER LCSW
NPI 1336777010
Social Worker - Clinical in Fort Worth, TX

Active since March 30, 2020
12333 RED BIRCH LN, FORT WORTH, TX 76244(817) 403-1298 Get Directions Write a Review

NPPES record last updated: March 30, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Renese Ann Super Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. RENESE ANN SUPER LCSW (NPI 1336777010) is an individual clinical provider in Fort Worth, Texas, licensed in Texas (56590) and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1336777010
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. RENESE ANN SUPERCredential: LCSW
Location Address12333 RED BIRCH LNFort Worth, TX 76244-4597
Mailing Address12333 Red Birch LnFort Worth, TX 76244-4597 · (817) 403-1298
Phone(817) 403-1298
Sole ProprietorYes
Enumeration DateMarch 30, 2020
NPPES CertifiedMarch 30, 2020
✔ NPI 1336777010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in TX · 56590
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
12333 RED BIRCH LN, Fort Worth, TX 76244
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Other Names 1

Former Name (1)Miss Renese Ann Mercier Lcsw

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Renese Super's NPI number?

The NPI number for Renese Super is 1336777010. It was assigned to this individual provider in the NPPES registry on March 30, 2020. The provider is also known as Miss Renese Ann Mercier Lcsw.

Where is Renese Super located?

Renese Super practices at 12333 Red Birch Ln, Fort Worth, TX 76244. The listed phone number is (817) 403-1298.

What is Renese Super's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Renese Super was last updated on March 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.