| Maureen Havelka Lcsw Pllc | |
|
4005 Spicewood Springs Rd Ste B401 Austin TX 78759-8680 | |
| (512) 548-8277 | |
| Not Available |
| Full Name | Maureen Havelka Lcsw Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 4005 Spicewood Springs Rd Ste B401, Austin, Texas |
| Authorized Official Name and Position | Maureen Havelka (MANAGING MEMBER) |
| Authorized Official Contact | 5125488277 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maureen Havelka Lcsw Pllc 4005 Spicewood Springs Rd Ste B401 Austin TX 78759-8680 Ph: () - | Maureen Havelka Lcsw Pllc 4005 Spicewood Springs Rd Ste B401 Austin TX 78759-8680 Ph: (512) 548-8277 |
| NPI Number | 1639643695 |
|---|---|
| Provider Enumeration Date | 01/14/2019 |
| Last Update Date | 01/14/2019 |
| Medicare PECOS PAC ID | 3375881378 |
|---|---|
| Medicare Enrollment ID | O20190213002390 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639643695 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Maureen Havelka |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457821654 PECOS PAC ID: 6709124704 Enrollment ID: I20190218002209 |
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