Individual
ANN REVARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1314 LAKE ST STE 102, FORT WORTH, TX 76102-4582
(817) 810-0030
(817) 367-9615
Mailing address
1314 LAKE ST STE 102, FORT WORTH, TX 76102-4582
(817) 810-0030
(817) 367-9615
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
23021
CA
1041C0700X
Clinical Social Worker
Primary
50949
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
193616302
—
TX
Enumeration date
03/19/2008
Last updated
08/07/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us