| Community Care Case Management | |
|
5202 Cedar St Bellaire TX 77401-3915 | |
| (832) 775-5203 | |
| (832) 775-5204 |
| Full Name | Community Care Case Management |
|---|---|
| Speciality | Case Management |
| Location | 5202 Cedar St, Bellaire, Texas |
| Authorized Official Name and Position | Vanavia Naomi Richardson (DIRECTOR) |
| Authorized Official Contact | 8327755203 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Care Case Management 12407 Fox Meadow Dr Stafford TX 77477-2285 Ph: (832) 775-5203 | Community Care Case Management 5202 Cedar St Bellaire TX 77401-3915 Ph: (832) 775-5203 |
| NPI Number | 1801143953 |
|---|---|
| Provider Enumeration Date | 08/08/2012 |
| Last Update Date | 01/15/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801143953 | NPI | - | NPPES |
| 189407301 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | 54807 (Texas) | Secondary |
| 1041C0700X | Social Worker - Clinical | 55706 (Texas) | Secondary |
| 251B00000X | Case Management | (* (Not Available)) | Primary |
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