Chava Shira Rousch-carlisle, LCSW, APHSW-C is a
Social Worker - Clinical based in Pantego, Texas. Chava Shira Rousch-carlisle is licensed to practice in Texas (license number 63773) and her current practice location is
3210 W Park Row Dr, Pantego, Texas. She can be reached at her office (for appointments etc.) via phone at
(817) 692-6917.
NPI number for Chava Shira Rousch-carlisle is 1184378143 and her current mailing address is 1418 W Pipeline Rd # 103, Hurst, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1184378143.
Healthcare Provider's Profile
Full Name | Chava Shira Rousch-carlisle |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 3210 W Park Row Dr, Pantego, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1184378143
- Provider Enumeration Date: 02/08/2022
- Last Update Date: 01/23/2024
Medical Identifiers
Medical identifiers for Chava Shira Rousch-carlisle such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1184378143 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 63773 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Chava Shira Rousch-carlisle is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Chava Shira Rousch-carlisle, LCSW, APHSW-C 1418 W Pipeline Rd # 103, Hurst, TX 76053-4629 Ph: (817) 692-6917 | Chava Shira Rousch-carlisle, LCSW, APHSW-C 3210 W Park Row Dr, Pantego, TX 76013-3136 Ph: (817) 692-6917 |
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