Mr Jimmy Daniel Henry, MSW, LCSW-S | |
6029 Carriage Cpe, San Antonio, TX 78261-2242 | |
(210) 268-6125 | |
(419) 745-8425 |
Full Name | Mr Jimmy Daniel Henry |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 6029 Carriage Cpe, San Antonio, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467442434 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 30555 (Texas) | Primary |
Entity Name | Sondermind Provider Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210326001541 |
Mailing Address | Practice Location Address |
---|---|
Mr Jimmy Daniel Henry, MSW, LCSW-S 18235 Bulverde Rd, Suite 105, #36, San Antonio, TX 78259 Ph: (210) 268-6125 | Mr Jimmy Daniel Henry, MSW, LCSW-S 6029 Carriage Cpe, San Antonio, TX 78261-2242 Ph: (210) 268-6125 |
Ms. Nadine Louise Garcia, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6522 Camp Bullis Rd Apt 5203, San Antonio, TX 78256 Phone: 210-394-4868 | |
Mr. Elliot Joseph Cruz, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4242 Medical Dr, 7100, San Antonio, TX 78229 Phone: 210-216-2739 | |
Ms. Lynette Edens Hutchins, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 25026 Summit Crk, San Antonio, TX 78258 Phone: 210-325-0660 | |
Melissa D Miller, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7526 Louis Pasteur Dr, #318, San Antonio, TX 78229 Phone: 210-450-6450 | |
Karen C Keating, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 4203 Woodcock Dr Ste 216, San Antonio, TX 78228 Phone: 210-564-9116 Fax: 210-564-9087 | |
Kevin Lynch, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4835 Medical Dr. 40314, San Antonio, TX 78229 Phone: 210-367-6904 | |
Mrs. Denise Ann Flores, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 903 W Martin St, San Antonio, TX 78207 Phone: 210-358-5906 |