Timothy T Erhardt, LICSW, LCSW is a
Social Worker - Clinical based in Jbsa Randolph, Texas. Timothy T Erhardt is licensed to practice in Texas (license number 61723) and his current practice location is
221 3rd St W Bldg 1040, Jbsa Randolph, Texas. He can be reached at his office (for appointments etc.) via phone at
(210) 652-8544.
NPI number for Timothy T Erhardt is 1043481716 and his current mailing address is 221 3rd St W Bldg 1040559, Jbsa Randolph, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1043481716.
Healthcare Provider's Profile
| Full Name | Timothy T Erhardt |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 221 3rd St W Bldg 1040, Jbsa Randolph, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1043481716
- Provider Enumeration Date: 03/20/2008
- Last Update Date: 03/21/2024
Medical Identifiers
Medical identifiers for Timothy T Erhardt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1043481716 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 302228 (Minnesota) | Secondary |
| 1041C0700X | Social Worker - Clinical | 3828 (North Dakota) | Secondary |
| 1041C0700X | Social Worker - Clinical | 61723 (Texas) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1564 (North Dakota) | Secondary |
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. Timothy T Erhardt 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 |
|---|
Timothy T Erhardt, LICSW, LCSW
221 3rd St W Bldg 1040559,
Jbsa Randolph, TX 78150-4800
Ph: (218) 443-1716 | Timothy T Erhardt, LICSW, LCSW
221 3rd St W Bldg 1040,
Jbsa Randolph, TX 78150-4800
Ph: (210) 652-8544 |
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