MEDICARE: MRS. KAYLENE DENISE WARNER LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	37670	TX
2	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1225184567
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KAYLENE DENISE WARNER LCSW

Provider Business Mailing Address
First Line	:	1011 SURREY LN STE 18
Second Line	:
City	:	FLOWER MOUND
State	:	TX
Zip	:	75022-4211
Country	:	US
Telephone Number	:	214-646-3236
Fax Number	:

Provider Business Practice Location Address
First Line	:	1011 SURREY LN STE 18
Second Line	:
City	:	FLOWER MOUND
State	:	TX
Zip	:	75022-4211
Country	:	US
Telephone Number	:	214-646-3236
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/27/2007
Last Update Date	:	12/15/2025

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