Jeffrey Edwards, LCSW | |
203 Woodview Dr, Live Oak, TX 78233-2560 | |
(210) 859-6984 | |
Not Available |
Full Name | Jeffrey Edwards |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 203 Woodview Dr, Live Oak, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720763063 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 26078 (Texas) | Primary |
Entity Name | Sondermind Provider Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210326001541 |
Mailing Address | Practice Location Address |
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Jeffrey Edwards, LCSW 203 Woodview Dr, Live Oak, TX 78233-2560 Ph: (210) 859-6984 | Jeffrey Edwards, LCSW 203 Woodview Dr, Live Oak, TX 78233-2560 Ph: (210) 859-6984 |
Regi S Abraham, MSW,ACSW,LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 11901 Toepperwein Rd Ste 1106, Live Oak, TX 78233 Phone: 210-286-9339 | |
Syrita Simmons, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 11901 Toepperwein Rd Ste 1106, Live Oak, TX 78233 Phone: 210-286-9339 | |
Bethany Moore Polk, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11901 Toepperwein Rd Ste 1202, Live Oak, TX 78233 Phone: 210-951-3479 | |
Richard A Mamula, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8221 Palisades Dr, Live Oak, TX 78233 Phone: 888-365-6271 | |
Beyinah Y Hopkins, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 6771 Spearwood, Live Oak, TX 78233 Phone: 210-430-0103 | |
Caroline Beth Stray, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 12702 Toepperwein Rd Ste 236, Live Oak, TX 78233 Phone: 210-286-9339 |