Mr Gordon Hagbourne, LCSW, LCDC is a
Social Worker - Clinical based in Austin, Texas. Mr Gordon Hagbourne is licensed to practice in Texas (license number 42670) and his current practice location is
3000 Oak Springs Dr, Austin, Texas. He can be reached at his office (for appointments etc.) via phone at
(512) 804-3527.
NPI number for Mr Gordon Hagbourne is 1649491564 and his current mailing address is 1430 Collier St, Austin, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1649491564.
Healthcare Provider's Profile
| Full Name | Mr Gordon Hagbourne |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 3000 Oak Springs Dr, Austin, Texas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1649491564
- Provider Enumeration Date: 05/01/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Gordon Hagbourne such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649491564 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 10249 (Texas) | Primary |
| 101YM0800X | Counselor - Mental Health | 42670 (Texas) | Primary |
| 1041C0700X | Social Worker - Clinical | 42670 (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. Mr Gordon Hagbourne 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 |
|---|
Mr Gordon Hagbourne, LCSW, LCDC
1430 Collier St,
Austin, TX 78704-2911
Ph: (512) 445-7787 | Mr Gordon Hagbourne, LCSW, LCDC
3000 Oak Springs Dr,
Austin, TX 78702-2531
Ph: (512) 804-3527 |
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