Individual
KENISHA ROTIBI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5963 RIDGEWAY DR, GRAND PRAIRIE, TX 75052-0444
(972) 890-6101
Mailing address
5963 RIDGEWAY DR, GRAND PRAIRIE, TX 75052-0444
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
55603
TX
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
08/25/2016
Last updated
05/06/2026
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