Stacey Odell, LCSW | |
3500 Hillcrest Dr, Waco, TX 76708-3157 | |
(254) 447-4539 | |
Not Available |
Full Name | Stacey Odell |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 3500 Hillcrest Dr, Waco, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659014983 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 110380 (California) | Secondary |
1041C0700X | Social Worker - Clinical | 112217 (Texas) | Primary |
Entity Name | Etsah Counseling Center, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427591320 PECOS PAC ID: 7719262153 Enrollment ID: O20170327000439 |
Mailing Address | Practice Location Address |
---|---|
Stacey Odell, LCSW 3500 Hillcrest Dr, Waco, TX 76708-3157 Ph: (254) 237-5369 | Stacey Odell, LCSW 3500 Hillcrest Dr, Waco, TX 76708-3157 Ph: (254) 447-4539 |
Kelli King Guerrero, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1105 Jefferson Ave, Waco, TX 76701 Phone: 254-752-3451 Fax: 254-756-3133 | |
Samantha Rae Sophie Stough, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5931 Crosslake Pkwy, Waco, TX 76712 Phone: 254-870-5457 | |
Mrs. Kathleen Paige Cunningham, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3300 Pine Ave, Waco, TX 76708 Phone: 706-424-0867 | |
Chelsea Layne Kramer, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 110 S 12th St, Waco, TX 76701 Phone: 254-752-3451 | |
Juliana Del Laboube, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4800 Memorial Dr, Waco, TX 76711 Phone: 254-297-3000 | |
Mrs. Natalie O'connor Qualls, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4800 Memorial Dr, Waco, TX 76711 Phone: 254-752-6581 | |
Ezekiel Coleman Morgan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1600 Providence Dr, Waco, TX 76707 Phone: 254-313-4200 Fax: 254-313-4549 |