Nicole Burke, | |
590 Medical Center Road, Fort Cavazos, TX 76544 | |
(440) 344-1481 | |
Not Available |
Full Name | Nicole Burke |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 590 Medical Center Road, Fort Cavazos, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992252993 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 108267 (Texas) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
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 |
---|---|
Nicole Burke, 8161 Cardinal Ln Unit B, Fort Hood, TX 76544-1862 Ph: (440) 344-1481 | Nicole Burke, 590 Medical Center Road, Fort Cavazos, TX 76544 Ph: (440) 344-1481 |
Jose Nunez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 590 Medical Center Road, Fort Cavazos, TX 76544 Phone: 254-402-9955 | |
Melissa Gail Picon, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 36065 Sante Fe Ave, Fort Cavazos, TX 76544 Phone: 254-458-3615 | |
Josephine Rongey, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 590 Medical Center Road, Fort Cavazos, TX 76544 Phone: 254-287-1866 | |
Ms. Bria Margaret Lashae Dukes, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 36065 Santa Fe Ave, Fort Cavazos, TX 76544 Phone: 254-288-8000 | |
Victoria Macknight, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 36065 Santa Fe Ave, Fort Cavazos, TX 76544 Phone: 254-553-8704 | |
Dolores Montanez, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 36065 Santa Fe Ave, Fort Cavazos, TX 76544 Phone: 210-452-4554 Fax: 210-618-0324 | |
Sarah Vanderzanden, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 590 Medical Center Road, Fort Cavazos, TX 76544 Phone: 413-896-0925 |