Thalia Ross, LCSW | |
1912 Central Dr, Suite A, Bedford, TX 76021-5894 | |
(817) 718-8576 | |
(817) 451-1763 |
Full Name | Thalia Ross |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1912 Central Dr, Bedford, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104049055 | NPI | - | NPPES |
TXB131437 | Other | TX | MEDICARE |
184916803 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 30812 (Texas) | Primary |
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 |
---|---|
Thalia Ross, LCSW 1912 Central Dr, Suite A, Bedford, TX 76021-5894 Ph: (817) 718-8576 | Thalia Ross, LCSW 1912 Central Dr, Suite A, Bedford, TX 76021-5894 Ph: (817) 718-8576 |
Mrs. Christine J Hamstra, LCSW LMFT MAC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 500 Goldhawk Lane, Bedford, TX 76022 Phone: 817-285-0333 Fax: 817-285-0334 | |
Mr. Gary T Ongley, LPC, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1901 Central Dr, Ste 315, Bedford, TX 76021 Phone: 817-919-7351 Fax: 817-684-9979 | |
Shimetra Jones, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 405 Airport Fwy Ste 2, Bedford, TX 76021 Phone: 682-445-0431 | |
Cynthia A Cashman, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1905 Central Dr, Suite 208, Bedford, TX 76021 Phone: 817-228-9788 Fax: 817-494-8422 | |
Abigail Justine Goode, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1901 Central Dr Ste 160, Bedford, TX 76021 Phone: 682-289-0546 | |
Carole Marie Lafreniere, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2904 Shady Knoll Ln, Bedford, TX 76021 Phone: 682-715-5411 Fax: 817-510-3602 |