Dominique M Agypt, LCSW | |
2501 W William Cannon Dr Bldg 4, Austin, TX 78745-5281 | |
(512) 804-3200 | |
Not Available |
Full Name | Dominique M Agypt |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 2501 W William Cannon Dr Bldg 4, Austin, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780108050 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 0904009865 (Virginia) | Primary |
Entity Name | Neta, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134506520 PECOS PAC ID: 1658633136 Enrollment ID: O20200528000684 |
Entity Name | Sondermind Provider Network Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210331001144 |
Mailing Address | Practice Location Address |
---|---|
Dominique M Agypt, LCSW 1430 Collier St, Austin, TX 78704-2911 Ph: (512) 445-7787 | Dominique M Agypt, LCSW 2501 W William Cannon Dr Bldg 4, Austin, TX 78745-5281 Ph: (512) 804-3200 |
Joanne Frances Carrubba, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1433 Fairfield Dr, Austin, TX 78758 Phone: 512-491-8444 Fax: 512-491-0226 | |
Ms. Karen R. Dorrier, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 56 East Ave, Austin, TX 78701 Phone: 512-703-1396 Fax: 512-703-1390 | |
Jennifer Rae Wilhelm, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6100 Bull Creek Rd, Austin, TX 78757 Phone: 646-284-2210 | |
Adrienne Elizabeth Robison, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1524 S Ih 35 Ste 100, Austin, TX 78704 Phone: 469-867-5817 | |
Sabrina Smith, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2501 W William Cannon Dr Ste 6a, Austin, TX 78745 Phone: 512-344-9181 | |
Monica Lenker, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8500 N Mopac Expy, Suite 402, Austin, TX 78759 Phone: 512-299-4024 Fax: 512-215-9756 | |
Denise Lynn Cleveland, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 9219 Rock Way Dr # 2, Austin, TX 78736 Phone: 512-576-2009 |