Edward A Green, LCSW | |
507 N Sam Houston Pkwy E, Suite 125, Houston, TX 77060-4021 | |
(832) 622-2386 | |
(800) 434-4305 |
Full Name | Edward A Green |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 45 Years |
Location | 507 N Sam Houston Pkwy E, Houston, Texas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639171515 | NPI | - | NPPES |
80552W | Other | TX | BCBS TEXAS |
037320101 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 01647 (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Assurasource Ltd | 8123125580 | 50 |
Sondermind Provider Network Llc | 9537572490 | 485 |
Entity Name | Assurasource Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194746016 PECOS PAC ID: 8123125580 Enrollment ID: O20070518000258 |
Entity Name | Abundant Life Therapeutic Services Texas |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477932119 PECOS PAC ID: 4789980103 Enrollment ID: O20160311000215 |
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: O20210326001541 |
Entity Name | Grow Healthcare Group Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220525002138 |
Mailing Address | Practice Location Address |
---|---|
Edward A Green, LCSW 4018 Meadowgold Ln, Suite 125, Kingwood, TX 77345-1008 Ph: (832) 622-2386 | Edward A Green, LCSW 507 N Sam Houston Pkwy E, Suite 125, Houston, TX 77060-4021 Ph: (832) 622-2386 |
Ms. Kathleen P Fallon, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6500 Chimney Rock Rd, Houston, TX 77081 Phone: 281-685-6921 | |
Amy C Waldner, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1118 Cortlandt St # 2, Houston, TX 77008 Phone: 281-455-5359 | |
Veronica Meza-hernandez, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5104 Harrisburg Blvd, Ste 800, Houston, TX 77011 Phone: 832-667-4150 Fax: 833-853-9420 | |
Ms. Juanita Annette Perry, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10381 Huntington Place Dr, Houston, TX 77099 Phone: 832-607-9770 | |
Thomas L Hambleton, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3100 Weslayan St Ste 350, Houston, TX 77027 Phone: 713-963-0769 Fax: 713-963-8536 | |
Francisco Fuentes Ayala, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 401 Branard St Fl 2, Houston, TX 77006 Phone: 713-529-0037 | |
Vasavi Kanneganti, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 9401 Southwest Fwy, Houston, TX 77074 Phone: 713-970-7000 |