Mr Jeffrey P Mendillo, LCSW | |
100 I-45 North, Suite 320, Conroe, TX 77301 | |
(936) 701-0894 | |
Not Available |
Full Name | Mr Jeffrey P Mendillo |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 100 I-45 North, Conroe, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265026835 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 65911 (Texas) | Primary |
Entity Name | Tri-county Behavioral Healthcare |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851333074 PECOS PAC ID: 5991754772 Enrollment ID: O20050119000528 |
Mailing Address | Practice Location Address |
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Mr Jeffrey P Mendillo, LCSW 206a S Loop 336 W, Unit 312, Conroe, TX 77304 Ph: (936) 701-0894 | Mr Jeffrey P Mendillo, LCSW 100 I-45 North, Suite 320, Conroe, TX 77301 Ph: (936) 701-0894 |
Kristin Buck, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 900 W Davis St, Conroe, TX 77301 Phone: 936-444-3140 | |
Jessica Daigle, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 506 W Lewis St, Conroe, TX 77301 Phone: 936-449-9921 Fax: 866-830-6416 | |
Amber Shea Martin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9529 Chasewood Blvd, Conroe, TX 77304 Phone: 480-570-4785 | |
Stephen W Kitt, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1020 Riverwood Ct, Conroe, TX 77304 Phone: 936-521-6400 Fax: 936-760-2898 | |
Meredith Bauer, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 610 N Loop 336 E Ste 200, Conroe, TX 77301 Phone: 832-420-1037 | |
Chantell Hebert, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2006 S Loop 336 W, Conroe, TX 77304 Phone: 936-647-3500 |