Celena D Fannin, LCSW is a
Social Worker - Clinical based in Fort Worth, Texas. Celena D Fannin is licensed to practice in Texas (license number 61959) and her current practice location is
3612 Wren Ave, Fort Worth, Texas. She can be reached at her office (for appointments etc.) via phone at
(817) 718-8366.
NPI number for Celena D Fannin is 1407640816 and her current mailing address is 3612 Wren Ave, Fort Worth, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1407640816.
Healthcare Provider's Profile
Full Name | Celena D Fannin |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 3612 Wren Ave, Fort Worth, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1407640816
- Provider Enumeration Date: 04/09/2025
- Last Update Date: 04/09/2025
Medical Identifiers
Medical identifiers for Celena D Fannin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1407640816 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 61959 (Texas) | Secondary |
171M00000X | Case Manager/care Coordinator | 61959 (Texas) | Secondary |
1041C0700X | Social Worker - Clinical | 61959 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Celena D Fannin is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Celena D Fannin, LCSW 3612 Wren Ave, Fort Worth, TX 76133-2131 Ph: (817) 718-8366 | Celena D Fannin, LCSW 3612 Wren Ave, Fort Worth, TX 76133-2131 Ph: (817) 718-8366 |
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