Traci Alisia Perry, LCSW | |
320 Decker Dr, Suite 100, Irving, TX 75062-8162 | |
(972) 719-2520 | |
(972) 793-8957 |
Full Name | Traci Alisia Perry |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 320 Decker Dr, Irving, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215125497 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 32738 (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 |
---|---|
Traci Alisia Perry, LCSW 3810 Cove Rd, Rowlett, TX 75088-5554 Ph: (214) 293-5294 | Traci Alisia Perry, LCSW 320 Decker Dr, Suite 100, Irving, TX 75062-8162 Ph: (972) 719-2520 |
Ms. Deborah Kay Karulf, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4425 W Airport Fwy Ste 244, Irving, TX 75062 Phone: 214-441-3797 | |
Mr. Clifford Raymond Fagan, LCSW CCM Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 800 W Airport Fwy, Ste 1100, Irving, TX 75062 Phone: 214-704-5879 Fax: 888-974-1492 | |
Charlotte Gruber, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5215 North O'connor Boulevard, 1100, Irving, TX 75039 Phone: 469-928-6710 | |
Ciera Thompson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3021 Gateway Dr Ste 295, Irving, TX 75063 Phone: 888-854-1397 | |
Derling Campos, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1800 N Britain Rd, Irving, TX 75061 Phone: 214-266-1000 | |
Tiffanie Ann Hampton, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1013 Patricia St, Irving, TX 75060 Phone: 806-368-1094 | |
Janelle Gillis, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1425 Greenway Dr Ste 360, Irving, TX 75038 Phone: 346-584-4858 |