Mr James Gordon Minto Jr, MSW, LCSW | |
3000 Polar Ln Ste 101, Cedar Park, TX 78613-3065 | |
(844) 824-8775 | |
Not Available |
Full Name | Mr James Gordon Minto Jr |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 3000 Polar Ln Ste 101, Cedar Park, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962586180 | NPI | - | NPPES |
1756453 | Other | TX | FIRST HEALTH |
0007800054 | Other | TX | AETNA |
079049 | Other | TX | VALUE OPTIONS/NORTHSTAR |
143465603 | Medicaid | TX | |
244277 | Other | TX | COMPSYCH |
00007JB | Other | TX | BLUE CROSS BLUE SHIELD |
146452000 | Other | TX | MAGELLAN HEALTH |
203630 | Other | TN | MHN |
317895 | Other | TX | PRIVATE HEALTHCARE SYSTEM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 35983 (Texas) | Primary |
Entity Name | Progressive Behavioral Health, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659567238 PECOS PAC ID: 4486794906 Enrollment ID: O20091214000763 |
Mailing Address | Practice Location Address |
---|---|
Mr James Gordon Minto Jr, MSW, LCSW 4702 Wesley St Ste D, Greenville, TX 75401-5663 Ph: (903) 455-4114 | Mr James Gordon Minto Jr, MSW, LCSW 3000 Polar Ln Ste 101, Cedar Park, TX 78613-3065 Ph: (844) 824-8775 |
Macy Loera, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 921 W New Hope Dr Ste 504, Cedar Park, TX 78613 Phone: 737-497-1672 | |
Abbey Christine Pelosi, LCSW-S Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 1603 Medical Pkwy Ste 320, Cedar Park, TX 78613 Phone: 512-827-8601 Fax: 512-872-5294 | |
Nicole Elizabeth Garcia, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 12001 W Parmer Ln Ste 203b, Cedar Park, TX 78613 Phone: 512-593-7070 | |
Kristina Leann Daugherty, LCSW, LCDC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2906 Appennini Cv, Cedar Park, TX 78613 Phone: 512-560-7018 | |
Coral Fantasia, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3000 Polar Ln Ste 101, Cedar Park, TX 78613 Phone: 844-824-8775 | |
Robin Fayvonne Johnson, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 930 S Bell Blvd, Cedar Park, TX 78613 Phone: 512-333-1458 | |
Courtney Pataray, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3000 Polar Ln Ste 101, Cedar Park, TX 78613 Phone: 844-824-8775 |