Jennifer N Staten, LCSW | |
2121 Main St, Sulphur Springs, TX 75482-3616 | |
(903) 885-2776 | |
Not Available |
Full Name | Jennifer N Staten |
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Gender | Female |
Speciality | Clinical Social Worker |
Experience | 18 Years |
Location | 2121 Main St, Sulphur Springs, Texas |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811507189 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | 58667 (Texas) | Primary |
Entity Name | Jennifer Staten, Lcsw, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629669981 PECOS PAC ID: 6901212273 Enrollment ID: O20210311000204 |
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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Jennifer N Staten, LCSW Po Box 146, Sulphur Springs, TX 75483-0146 Ph: (903) 885-2776 | Jennifer N Staten, LCSW 2121 Main St, Sulphur Springs, TX 75482-3616 Ph: (903) 885-2776 |
Robin White, L.M.S.W Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 614 Bill Bradford, Suite 101, Sulphur Springs, TX 75482 Phone: 903-885-5919 Fax: 903-885-9131 | |
Chelsea Delorge, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 636 Rasure Cir, Sulphur Springs, TX 75482 Phone: 940-886-8852 | |
Donna Wallis, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2704 County Road 1103, Sulphur Springs, TX 75482 Phone: 903-439-5307 | |
Jessica Reddin, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 655 Airport Rd, Sulphur Springs, TX 75482 Phone: 903-438-3270 Fax: 903-438-3280 |