Ms Gay H Etheredge, LCSW is a
Social Worker - Clinical based in Atlanta, Texas. Ms Gay H Etheredge is licensed to practice in Texas (license number 00276) and her current practice location is
1204 Holly St, Atlanta, Texas. She can be reached at her office (for appointments etc.) via phone at
(903) 796-5061.
NPI number for Ms Gay H Etheredge is 1396779336 and her current mailing address is 1204 Holly St, Atlanta, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1396779336.
Healthcare Provider's Profile
Full Name | Ms Gay H Etheredge |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 1204 Holly St, Atlanta, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1396779336
- Provider Enumeration Date: 07/10/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Ms Gay H Etheredge such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1396779336 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 00276 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Gay H Etheredge is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Gay H Etheredge, LCSW 1204 Holly St, Atlanta, TX 75551-1842 Ph: (903) 796-5061 | Ms Gay H Etheredge, LCSW 1204 Holly St, Atlanta, TX 75551-1842 Ph: (903) 796-5061 |
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