Jazmin Graham, LCSW | |
2404 Ellis St, Suite #4, Venus, TX 76084 | |
(817) 372-0784 | |
Not Available |
Full Name | Jazmin Graham |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 2404 Ellis St, Venus, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407243694 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 55352 (Texas) | Primary |
Entity Name | Assurasource Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194746016 PECOS PAC ID: 8123125580 Enrollment ID: O20070518000258 |
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 |
Entity Name | Buchanan Synergy Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649908260 PECOS PAC ID: 7315315009 Enrollment ID: O20221130003147 |
Mailing Address | Practice Location Address |
---|---|
Jazmin Graham, LCSW 2404 Ellis Street, Suite 4, Venus, TX 76084-2491 Ph: (817) 372-0784 | Jazmin Graham, LCSW 2404 Ellis St, Suite #4, Venus, TX 76084 Ph: (817) 372-0784 |
Synthia Elaina Stewart, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 103 Presidents Way, Venus, TX 76084 Phone: 817-688-3229 | |
Alicia Beatrice Burley, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2404 Ellis St Ste 4, Venus, TX 76084 Phone: 817-783-0218 | |
Mr. Joseph Daniel Bruce, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3200 Mesquite Dr, Venus, TX 76084 Phone: 817-300-4073 | |
Reesha Ahmed, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6706 Aster Dr, Venus, TX 76084 Phone: 817-714-7801 | |
Linda A Milburn, LCSW, LCDC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5020 N Fm 157, Venus, TX 76084 Phone: 817-905-3909 |