Jennifer Jefferson, LCSW | |
3108 Pioneer Cir, Waco, TX 76712-9643 | |
(254) 644-3720 | |
Not Available |
Full Name | Jennifer Jefferson |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 3108 Pioneer Cir, Waco, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649577172 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 51230 (Texas) | Primary |
171M00000X | Case Manager/care Coordinator | 51230 (Texas) | Secondary |
Entity Name | Beyond The Gray Sky Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780976076 PECOS PAC ID: 1759722606 Enrollment ID: O20240509003250 |
Mailing Address | Practice Location Address |
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Jennifer Jefferson, LCSW 3108 Pioneer Cir, Waco, TX 76712-9643 Ph: (254) 644-3720 | Jennifer Jefferson, LCSW 3108 Pioneer Cir, Waco, TX 76712-9643 Ph: (254) 644-3720 |
Kelli King Guerrero, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1105 Jefferson Ave, Waco, TX 76701 Phone: 254-752-3451 Fax: 254-756-3133 | |
Samantha Rae Sophie Stough, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5931 Crosslake Pkwy, Waco, TX 76712 Phone: 254-870-5457 | |
Mrs. Kathleen Paige Cunningham, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3300 Pine Ave, Waco, TX 76708 Phone: 706-424-0867 | |
Chelsea Layne Kramer, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 110 S 12th St, Waco, TX 76701 Phone: 254-752-3451 | |
Juliana Del Laboube, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4800 Memorial Dr, Waco, TX 76711 Phone: 254-297-3000 | |
Mrs. Natalie O'connor Qualls, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4800 Memorial Dr, Waco, TX 76711 Phone: 254-752-6581 | |
Ezekiel Coleman Morgan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1600 Providence Dr, Waco, TX 76707 Phone: 254-313-4200 Fax: 254-313-4549 |