| Jewish Family Service | |
|
4131 S Braeswood Blvd Houston TX 77025-3306 | |
| (713) 667-9336 | |
| (713) 667-3619 |
| Full Name | Jewish Family Service |
|---|---|
| Speciality | Social Worker |
| Location | 4131 S Braeswood Blvd, Houston, Texas |
| Authorized Official Name and Position | Linda Burger (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7136679336 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jewish Family Service 4131 S Braeswood Blvd Houston TX 77025-3306 Ph: (713) 667-9336 | Jewish Family Service 4131 S Braeswood Blvd Houston TX 77025-3306 Ph: (713) 667-9336 |
| NPI Number | 1245387919 |
|---|---|
| Provider Enumeration Date | 01/04/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 3274514641 |
|---|---|
| Medicare Enrollment ID | O20040601000541 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245387919 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 014727 (Texas) | Primary |
| Provider Name | Poi Ten Ada Cheung |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255697884 PECOS PAC ID: 8628234838 Enrollment ID: I20120716000255 |
| Provider Name | Ivy L Ickes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720312234 PECOS PAC ID: 2062733421 Enrollment ID: I20150610001918 |
| Provider Name | Noa Ben-yehuda |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730538182 PECOS PAC ID: 1759672066 Enrollment ID: I20160616001280 |
| Provider Name | Michael E Rose |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659498988 PECOS PAC ID: 6406024041 Enrollment ID: I20171120000555 |
| Provider Name | Emily R Van Laan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558848630 PECOS PAC ID: 3476805573 Enrollment ID: I20181017001670 |
| Provider Name | Mai Spickelmier-engel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124587340 PECOS PAC ID: 5092044438 Enrollment ID: I20190910001361 |
| Provider Name | Carol Laufer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760975981 PECOS PAC ID: 3678961430 Enrollment ID: I20211027001887 |
| Provider Name | Katelyn A Smiley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821743444 PECOS PAC ID: 2365837259 Enrollment ID: I20220310001988 |
| Provider Name | Kimberly N Simmons |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548715188 PECOS PAC ID: 0941696843 Enrollment ID: I20220401000191 |
| Provider Name | Angelica Pena |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730836735 PECOS PAC ID: 2567810351 Enrollment ID: I20231205001902 |
| Provider Name | Judy H Young |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326815218 PECOS PAC ID: 0547605024 Enrollment ID: I20240226000020 |
| Provider Name | Nancy Tipton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841461795 PECOS PAC ID: 1759726607 Enrollment ID: I20240229004699 |
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