Mrs Minta Gardyn Johnson, LCSW | |
1755 N Collins Blvd, Suite 525, Richardson, TX 75080-3562 | |
(214) 369-5522 | |
(214) 369-5327 |
Full Name | Mrs Minta Gardyn Johnson |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1755 N Collins Blvd, Richardson, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972753366 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 58540 (Texas) | Primary |
Entity Name | Senior Psychological Care Dallas I Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649566795 PECOS PAC ID: 3375717044 Enrollment ID: O20111114000885 |
Mailing Address | Practice Location Address |
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Mrs Minta Gardyn Johnson, LCSW 1755 N Collins Blvd, Suite 525, Richardson, TX 75080-3562 Ph: (214) 369-5522 | Mrs Minta Gardyn Johnson, LCSW 1755 N Collins Blvd, Suite 525, Richardson, TX 75080-3562 Ph: (214) 369-5522 |
Ms. Sharon Elaine Bowles, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 535 Newberry Dr, Richardson, TX 75080 Phone: 972-680-1513 | |
Judith Ann Rickard, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2007 N Collins Blvd Ste 409, Richardson, TX 75080 Phone: 972-880-5139 | |
Ms. Dana S. Whitney, LCSW, LMFT Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 600 W Campbell Rd, Suite 5, Richardson, TX 75080 Phone: 972-480-8897 | |
Nicole Porter, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 600 W Campbell Rd Ste 1, Richardson, TX 75080 Phone: 847-903-5604 Fax: 224-788-5112 | |
Mary S Mcgraw, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2011 N Collins Blvd, Suite 709, Richardson, TX 75080 Phone: 972-491-0483 | |
Julie Marie Ennis, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1350 N Greenville Ave, Apt 3316, Richardson, TX 75081 Phone: 412-656-7776 | |
Ms. Toni Lynn Knox, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2200 Shannon Ln, Richardson, TX 75082 Phone: 214-415-6753 Fax: 972-234-3715 |