Marina Randall, | |
1611 S Wall Ave, Tyler, TX 75701-4344 | |
(419) 022-1626 | |
Not Available |
Full Name | Marina Randall |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1611 S Wall Ave, Tyler, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003594755 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Entity Name | Sabine Valley Regional Mhmr Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639232002 PECOS PAC ID: 0143202580 Enrollment ID: O20040601001132 |
Mailing Address | Practice Location Address |
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Marina Randall, 1611 S Wall Ave, Tyler, TX 75701-4344 Ph: () - | Marina Randall, 1611 S Wall Ave, Tyler, TX 75701-4344 Ph: (419) 022-1626 |
Larissa Smith, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5380 Old Bullard Rd Ste 600-129, Tyler, TX 75703 Phone: 903-707-3187 | |
July J Johnson-minnick, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4111 University Blvd, Tyler, TX 75701 Phone: 903-266-3400 | |
Ms. Jana Meagher Sisk, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1121 Ese Loop323, Suite 204, Tyler, TX 75701 Phone: 903-581-0933 Fax: 903-581-3977 | |
Laurie Ann Frank, L.C.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1800 Shiloh Rd Ste 106, Tyler, TX 75703 Phone: 903-780-9811 | |
Hope Lambert, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1808 Blossom Ln, Tyler, TX 75701 Phone: 903-312-0874 | |
Mrs. Kristi Ann Lemmert, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 18118 County Road 4202, Tyler, TX 75704 Phone: 903-279-2981 |