Jacquelyne Cisneros Medina, LCSW | |
1551 Montana Ave, El Paso, TX 79902-5668 | |
(915) 757-7999 | |
Not Available |
Full Name | Jacquelyne Cisneros Medina |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1551 Montana Ave, El Paso, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831661479 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 68577 (Texas) | Primary |
Entity Name | El Paso Community Mhmr |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649345869 PECOS PAC ID: 3476532383 Enrollment ID: O20050802001083 |
Entity Name | Grow Healthcare Group Pa |
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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 |
---|---|
Jacquelyne Cisneros Medina, LCSW 7417 Le Conte Dr, El Paso, TX 79912-7129 Ph: (915) 887-3410 | Jacquelyne Cisneros Medina, LCSW 1551 Montana Ave, El Paso, TX 79902-5668 Ph: (915) 757-7999 |
Joseph W Black, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5005 N Piedras St, William Beaumont Army Medical Center, El Paso, TX 79920 Phone: 915-742-6382 Fax: 915-569-4890 | |
Valeria Garcia, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12551 New Dawn Dr, El Paso, TX 79928 Phone: 915-319-0888 | |
Mr. Jose Arturo Camacho, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5001 N Piedras St, El Paso, TX 79930 Phone: 915-564-6100 | |
Martha L Ballesteros, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11725 Snow Hawk Dr, El Paso, TX 79936 Phone: 915-630-6383 | |
Elisa Ivet Dobler, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1601 E Yandell Dr, El Paso, TX 79902 Phone: 915-887-3410 | |
Christine Alvarez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5001 N Piedras St, El Paso, TX 79930 Phone: 915-564-6100 | |
Mr. Jesus Espinosa Valenzuela, LMSW/ACP, LMFT Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1725 E Yandell Dr, El Paso, TX 79902 Phone: 915-544-0772 Fax: 915-534-7887 |