Holly Jean Wallraff, LCSW | |
1612 Williams Dr, Georgetown, TX 78628-3660 | |
(309) 574-0014 | |
Not Available |
Full Name | Holly Jean Wallraff |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1612 Williams Dr, Georgetown, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245586999 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 56842 (Texas) | Primary |
Entity Name | Supportive Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477895043 PECOS PAC ID: 7719126655 Enrollment ID: O20130625000484 |
Entity Name | Bmsc Tx Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215485198 PECOS PAC ID: 1052680949 Enrollment ID: O20170710000725 |
Mailing Address | Practice Location Address |
---|---|
Holly Jean Wallraff, LCSW 4903 Heather Ln Apt A, Killeen, TX 76549-4878 Ph: (309) 574-0014 | Holly Jean Wallraff, LCSW 1612 Williams Dr, Georgetown, TX 78628-3660 Ph: (309) 574-0014 |
Mr. Bolivar Aguirre, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3007 Dawn Dr Ste 102, Georgetown, TX 78628 Phone: 512-876-3158 | |
Kelsey Novelli, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2423 Williams Dr, #103, Georgetown, TX 78628 Phone: 877-800-5722 | |
Mr. Alan David Rivas, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2423 Williams Dr, Georgetown, TX 78628 Phone: 512-686-0207 | |
Lisa A Margraves, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 213 Sinuso Dr, Georgetown, TX 78628 Phone: 512-569-4017 | |
Joan Elizabeth Maus, MSSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1500 W University Ave, Suite 103, Georgetown, TX 78628 Phone: 512-341-8908 Fax: 512-868-3239 | |
Ms. Joanne Terry Swanson, M.S.W. Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 133 Waterford Ln, Georgetown, TX 78628 Phone: 413-687-4057 |