Jessica Reynolds, LCSW | |
1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 | |
(210) 292-6255 | |
Not Available |
Full Name | Jessica Reynolds |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518443217 | NPI | - | NPPES |
60522 | Other | TX | LCSW |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 60552 (Texas) | Primary |
Entity Name | Purple Couch Counseling & Consulting Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023650405 PECOS PAC ID: 3072924695 Enrollment ID: O20201202002008 |
Mailing Address | Practice Location Address |
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Jessica Reynolds, LCSW 4115 Medical Dr, Ste 500, San Antonio, TX 78229-5638 Ph: () - | Jessica Reynolds, LCSW 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 Ph: (210) 292-6255 |
Mrs. Charlene Burrell White, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-671-0384 | |
Kara Lee Davis, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-292-7749 | |
Ms. Autumn Lea Rodriguez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236 Phone: 210-221-1996 | |
Mr. Mark Allan Oliver, LISW-CP, PHD Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-292-5859 | |
Frances H. Martinez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236 Phone: 210-671-6665 | |
Mrs. Stephanie Marie Smith, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-221-1660 | |
Mrs. Brittney Theresa Yun, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236 Phone: 210-292-7361 |