Mr Ivan D Kaufman, LCSW, MMT | |
7435 La Bolsa Dr, Dallas, TX 75248-4248 | |
(214) 359-6072 | |
(214) 359-6072 |
Full Name | Mr Ivan D Kaufman |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 7435 La Bolsa Dr, Dallas, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407886054 | NPI | - | NPPES |
1590812-01 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 26064 (Texas) | Primary |
Entity Name | Grow Healthcare Group Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220525002138 |
Mailing Address | Practice Location Address |
---|---|
Mr Ivan D Kaufman, LCSW, MMT 7435 La Bolsa Dr, Dallas, TX 75248-4248 Ph: (214) 359-6072 | Mr Ivan D Kaufman, LCSW, MMT 7435 La Bolsa Dr, Dallas, TX 75248-4248 Ph: (214) 359-6072 |
Frances Beth Stolarski, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1005 W Jefferson Blvd, Suite 205, Dallas, TX 75208 Phone: 214-941-1650 Fax: 214-941-8008 | |
Andrea Blum, LMSW-ACP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5402 Arapaho Rd, Dallas, TX 75248 Phone: 972-437-9950 Fax: 972-437-1988 | |
Ms. Linda Soto, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2909 Cole Ave, Suite 301, Dallas, TX 75204 Phone: 972-754-9035 | |
Kelly Feddern, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10110 Coveridge Dr, Dallas, TX 75238 Phone: 214-546-9174 | |
Ms. Debbie L Felsenthal, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6330 Lbj Freeway, Suite 234, Dallas, TX 75240 Phone: 972-231-1102 Fax: 972-231-1279 | |
Ms. Cheri D Cox, LCSW, CET, CCFC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3420 Oak Grove Ave, Dallas, TX 75204 Phone: 817-946-1442 Fax: 214-979-0593 | |
Mr. Terrance W. Murphy, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8059 Scyene Cir, Dallas, TX 75227 Phone: 972-242-0667 |