Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Coral Fantasia, MSW, LCSW

Individual provider Clinical Social Worker · NPI 1114663945

Coral Fantasia, MSW, LCSW is a Clinical Social Worker in Cedar Park, Texas. Licensed in Nevada and Texas. Registered with an NPI since 2022.

Licensed in
NV, TX
In the registry since
2022
Specialties on file
2
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

3000 Polar Ln Ste 101
Cedar Park, TX 78613-3065
Phone: (844) 824-8775
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 113615 (TX)
Clinical Social Worker Taxonomy 1041C0700X · Licence IC-1932 (NV)

Record details

NPI number1114663945
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LCSW
Sole proprietorNo
NPI enumeratedMay 5, 2022
Last updated in NPPESNovember 11, 2024
Certification dateNovember 11, 2024

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