Heather M Derousse, LCSW | |
1515 Holcombe Blvd, Houston, TX 77030-4000 | |
(713) 792-6161 | |
Not Available |
Full Name | Heather M Derousse |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1515 Holcombe Blvd, Houston, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386329803 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 36071 (Texas) | Primary |
Entity Name | Physicians Referral Service |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073574810 PECOS PAC ID: 7911801410 Enrollment ID: O20031125000953 |
Mailing Address | Practice Location Address |
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Heather M Derousse, LCSW Po Box 4439, Houston, TX 77210-4439 Ph: (713) 792-2991 | Heather M Derousse, LCSW 1515 Holcombe Blvd, Houston, TX 77030-4000 Ph: (713) 792-6161 |
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 |