Mr Jared David Gavin, LCSW is a
Social Worker - Clinical based in Garland, Texas. Mr Jared David Gavin is licensed to practice in Nebraska (license number 1339) and his current practice location is
501 S Jupiter Rd, Garland, Texas. He can be reached at his office (for appointments etc.) via phone at
(214) 997-3359.
NPI number for Mr Jared David Gavin is 1356480487 and his current mailing address is 15889 Preston Rd Apt 1079, Dallas, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1356480487.
Healthcare Provider's Profile
| Full Name | Mr Jared David Gavin |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
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| Location | 501 S Jupiter Rd, Garland, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1356480487
- Provider Enumeration Date: 02/05/2007
- Last Update Date: 03/07/2023
Medical Identifiers
Medical identifiers for Mr Jared David Gavin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356480487 | NPI | - | NPPES |
| 520111977 | Medicaid | NE | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 3607 (Nebraska) | Secondary |
| 1041C0700X | Social Worker - Clinical | 105496 (Texas) | Secondary |
| 1041C0700X | Social Worker - Clinical | 1339 (Nebraska) | 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 Jared David Gavin 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 Jared David Gavin, LCSW
15889 Preston Rd Apt 1079,
Dallas, TX 75248-3802
Ph: (214) 814-4788 | Mr Jared David Gavin, LCSW
501 S Jupiter Rd,
Garland, TX 75042-7108
Ph: (214) 997-3359 |
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