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

MS. Renese Ann Super, LCSW

Individual provider Clinical Social Worker · NPI 1336777010

MS. Renese Ann Super, LCSW is a Clinical Social Worker in Fort Worth, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2020
What do these letters mean?
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

12333 Red Birch Ln
Fort Worth, TX 76244-4597
Phone: (817) 403-1298
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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 56590 (TX)

Record details

NPI number1336777010
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMarch 30, 2020
Last updated in NPPESMarch 30, 2020
Certification dateMarch 30, 2020

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