Sandra Stern Brackenridge, LCSW | |
4206 Creek Falls Dr, Corinth, TX 76208-5186 | |
(208) 705-0088 | |
Not Available |
Full Name | Sandra Stern Brackenridge |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 4206 Creek Falls Dr, Corinth, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235368705 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 52300 (Texas) | Primary |
Entity Name | Assurasource Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194746016 PECOS PAC ID: 8123125580 Enrollment ID: O20070518000258 |
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220525002138 |
Mailing Address | Practice Location Address |
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Sandra Stern Brackenridge, LCSW 4206 Creek Falls Dr, Corinth, TX 76208-5186 Ph: (208) 705-0088 | Sandra Stern Brackenridge, LCSW 4206 Creek Falls Dr, Corinth, TX 76208-5186 Ph: (208) 705-0088 |
Thomas W Mccall Jr., LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3150 Garrison Rd, Apt 2113, Corinth, TX 76210 Phone: 940-535-4286 | |
Verrita Skillern, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6820 S Stemmons Fwy Ste 115, Corinth, TX 76210 Phone: 469-864-0083 | |
Abigail Elledge, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3003 Brett Rd, Corinth, TX 76210 Phone: 940-293-5705 |