Laura Tanner, LCSW | |
2010 Ben Merritt Dr Unit A, Decatur, TX 76234-3853 | |
(940) 626-2300 | |
(940) 626-2543 |
Full Name | Laura Tanner |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 2010 Ben Merritt Dr Unit A, Decatur, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679229959 | NPI | - | NPPES |
1679229959 | Medicaid | TX | |
8RG827 | Other | TX | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 56600 (Texas) | Primary |
Entity Name | Wise Clinical Care Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679719801 PECOS PAC ID: 6204988975 Enrollment ID: O20090710000550 |
Mailing Address | Practice Location Address |
---|---|
Laura Tanner, LCSW Po Box 2078, Decatur, TX 76234-6156 Ph: (940) 626-2300 | Laura Tanner, LCSW 2010 Ben Merritt Dr Unit A, Decatur, TX 76234-3853 Ph: (940) 626-2300 |
Mrs. Jennifer A Mountain, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2304 S Fm 51, Decatur, TX 76234 Phone: 940-627-5328 | |
Danielle Manetta, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 210 S Sendero Dr, Decatur, TX 76234 Phone: 903-573-3469 | |
Julianne Howdeshell, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1602 W Business 380 Ste 100, Decatur, TX 76234 Phone: 940-539-0683 | |
Mrs. Lisa Marie Hernandez, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1602 W Business 380 Ste 100, Decatur, TX 76234 Phone: 940-539-8510 Fax: 940-432-3640 | |
Kelly Suzanne Jones, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1602 W Business 380 Ste 100, Decatur, TX 76234 Phone: 940-539-0683 Fax: 940-228-0651 | |
Cari Whittenburg, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 507 W Walnut St, Decatur, TX 76234 Phone: 940-626-0000 |