Doris Gardner-wilson, LCSW, LCDC is a
Social Worker - Clinical based in Houston, Texas. Doris Gardner-wilson is licensed to practice in Texas (license number 58672) and her current practice location is
14825 Saint Marys Ln Ste 122, Houston, Texas. She can be reached at her office (for appointments etc.) via phone at
(832) 489-1998.
NPI number for Doris Gardner-wilson is 1316368434 and her current mailing address is 6539 Hollow Oaks Dr Ste F, Houston, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1316368434.
Healthcare Provider's Profile
| Full Name | Doris Gardner-wilson |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 14825 Saint Marys Ln Ste 122, Houston, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1316368434
- Provider Enumeration Date: 12/16/2013
- Last Update Date: 01/25/2023
Medical Identifiers
Medical identifiers for Doris Gardner-wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316368434 | NPI | - | NPPES |
| 13255920 | Other | TX | TEXAS DRIVERS LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 9650 (Texas) | Secondary |
| 104100000X | Social Worker | 58672 (Texas) | Secondary |
| 1041C0700X | Social Worker - Clinical | 58672 (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. Doris Gardner-wilson 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 |
|---|
Doris Gardner-wilson, LCSW, LCDC
6539 Hollow Oaks Dr Ste F,
Houston, TX 77050-3717
Ph: (823) 489-1998 | Doris Gardner-wilson, LCSW, LCDC
14825 Saint Marys Ln Ste 122,
Houston, TX 77079-2989
Ph: (832) 489-1998 |
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