Khadija Ali Muntwanamba, LCSW | |
5413 Harvard St Apt B, Lubbock, TX 79416-3471 | |
(817) 566-5780 | |
Not Available |
Full Name | Khadija Ali Muntwanamba |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 5413 Harvard St Apt B, Lubbock, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194312017 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | M-11188 (New Mexico) | Secondary |
1041C0700X | Social Worker - Clinical | 58346 (Texas) | Primary |
Entity Name | Truecare24 Physicians Group, S.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710560545 PECOS PAC ID: 7012308802 Enrollment ID: O20220608002867 |
Mailing Address | Practice Location Address |
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Khadija Ali Muntwanamba, LCSW 5413 Harvard St Apt B, Lubbock, TX 79416-3471 Ph: (817) 566-5780 | Khadija Ali Muntwanamba, LCSW 5413 Harvard St Apt B, Lubbock, TX 79416-3471 Ph: (817) 566-5780 |
Kelly Grace, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5007 92nd St, Lubbock, TX 79424 Phone: 856-857-5002 | |
Ms. Masha Perlman, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 820 Buddy Holly Ave, Lubbock, TX 79401 Phone: 806-338-7378 | |
Mrs. Wenona Yvonna Andress, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3403 73rd St, Ste 7, Lubbock, TX 79423 Phone: 806-474-5787 Fax: 806-500-2936 | |
Patricia Joan Funck, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7212 Joliet Ave, Suite 10, Lubbock, TX 79423 Phone: 806-791-2829 Fax: 806-791-3744 | |
Westley Bailey-gray, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4000 24th St, Lubbock, TX 79410 Phone: 806-725-0566 | |
June Pinkston, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3417 73rd St Ste B, Lubbock, TX 79423 Phone: 806-794-3950 | |
Gabriela Saldana, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3208 34th St, Lubbock, TX 79410 Phone: 806-792-9782 |