Kellie R Wylie, LCSW | |
3700 N Hills Dr, Austin, TX 78731-3022 | |
(512) 960-4533 | |
(512) 887-3970 |
Full Name | Kellie R Wylie |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 3700 N Hills Dr, Austin, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1295293942 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 58307 (Texas) | Primary |
Entity Name | Austin Travis County Mental Health And Mental Retardation Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750337259 PECOS PAC ID: 9133016306 Enrollment ID: O20040305000036 |
Entity Name | Bluebonnet Trails Community Mhmr Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730135864 PECOS PAC ID: 5799775409 Enrollment ID: O20040514000751 |
Mailing Address | Practice Location Address |
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Kellie R Wylie, LCSW 1221 W Ben White Blvd Ste 210a, Austin, TX 78704-7182 Ph: (512) 960-4533 | Kellie R Wylie, LCSW 3700 N Hills Dr, Austin, TX 78731-3022 Ph: (512) 960-4533 |
Joanne Frances Carrubba, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1433 Fairfield Dr, Austin, TX 78758 Phone: 512-491-8444 Fax: 512-491-0226 | |
Ms. Karen R. Dorrier, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 56 East Ave, Austin, TX 78701 Phone: 512-703-1396 Fax: 512-703-1390 | |
Jennifer Rae Wilhelm, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6100 Bull Creek Rd, Austin, TX 78757 Phone: 646-284-2210 | |
Adrienne Elizabeth Robison, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1524 S Ih 35 Ste 100, Austin, TX 78704 Phone: 469-867-5817 | |
Sabrina Smith, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2501 W William Cannon Dr Ste 6a, Austin, TX 78745 Phone: 512-344-9181 | |
Monica Lenker, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8500 N Mopac Expy, Suite 402, Austin, TX 78759 Phone: 512-299-4024 Fax: 512-215-9756 | |
Denise Lynn Cleveland, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 9219 Rock Way Dr # 2, Austin, TX 78736 Phone: 512-576-2009 |