Beth Thomas Lcsw Pllc | |
13625 Pond Springs Rd Ste 106 Austin TX 78729-4400 | |
(512) 762-9058 | |
Not Available |
Full Name | Beth Thomas Lcsw Pllc |
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Speciality | Social Worker |
Location | 13625 Pond Springs Rd Ste 106, Austin, Texas |
Authorized Official Name and Position | Elizabeth A Thomas (MANAGING MEMBER) |
Authorized Official Contact | 5125901853 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Beth Thomas Lcsw Pllc 13625 Pond Springs Rd Ste 106 Austin TX 78729-4400 Ph: () - | Beth Thomas Lcsw Pllc 13625 Pond Springs Rd Ste 106 Austin TX 78729-4400 Ph: (512) 762-9058 |
NPI Number | 1770167215 |
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Provider Enumeration Date | 05/11/2021 |
Last Update Date | 07/30/2021 |
Certification Date | 07/30/2021 |
Medicare PECOS PAC ID | 1850796541 |
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Medicare Enrollment ID | O20210818001971 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770167215 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Elizabeth Thomas |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1902405343 PECOS PAC ID: 0749685444 Enrollment ID: I20210818002164 |
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