|
| |
|
1314 Fontaine Dr San Antonio TX 78219-2515 | |
| (210) 819-1435 | |
| (210) 503-5867 |
| Full Name | |
|---|---|
| Speciality | Social Worker |
| Location | 1314 Fontaine Dr, San Antonio, Texas |
| Authorized Official Name and Position | Carla Lee Groves (OWNER) |
| Authorized Official Contact | 2108191435 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
1314 Fontaine Dr San Antonio TX 78219-2515 Ph: (210) 819-1435 | 1314 Fontaine Dr San Antonio TX 78219-2515 Ph: (210) 819-1435 |
| NPI Number | 1649653908 |
|---|---|
| Provider Enumeration Date | 07/06/2015 |
| Last Update Date | 07/06/2015 |
| Medicare PECOS PAC ID | 0648585067 |
|---|---|
| Medicare Enrollment ID | O20150813012253 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649653908 | NPI | - | NPPES |
| 60147 | Other | TX | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 60147 (Texas) | Primary |
| Provider Name | Linda A Pusateri |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912219320 PECOS PAC ID: 9638367006 Enrollment ID: I20101229000615 |
| Provider Name | Carla Groves |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255729943 PECOS PAC ID: 1759605173 Enrollment ID: I20150113001099 |
| Provider Name | Valeria S Lerma |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710335914 PECOS PAC ID: 7315238532 Enrollment ID: I20160620000475 |
| Provider Name | Christina F Marshall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437680493 PECOS PAC ID: 2769769728 Enrollment ID: I20170501001985 |
| Provider Name | Kenya P Rouska |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649864190 PECOS PAC ID: 0648686410 Enrollment ID: I20210303001815 |
| Provider Name | Maritza Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093063638 PECOS PAC ID: 3779977608 Enrollment ID: I20220218001139 |
| Provider Name | Catherine A Drouillard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982348140 PECOS PAC ID: 7214324672 Enrollment ID: I20220503002748 |
| Provider Name | Tessa M Gee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568185189 PECOS PAC ID: 7416333265 Enrollment ID: I20220930001241 |
| Provider Name | Brandy N Avila |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124722038 PECOS PAC ID: 6507231727 Enrollment ID: I20230331000557 |
| Provider Name | Alyssa B Torres |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124722020 PECOS PAC ID: 2062887888 Enrollment ID: I20230410001945 |
| Provider Name | Jasmine D Brown |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396405593 PECOS PAC ID: 0749630614 Enrollment ID: I20231219002774 |
| Provider Name | Marisa M Vasquez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184299315 PECOS PAC ID: 9931559598 Enrollment ID: I20231221002898 |
| Provider Name | Lorissa Garza |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508333428 PECOS PAC ID: 4880044304 Enrollment ID: I20231226001739 |
| Provider Name | Carina Gaspar |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710639216 PECOS PAC ID: 6305296591 Enrollment ID: I20231229002973 |
| Provider Name | Janna Wallace-lennox |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1821663048 PECOS PAC ID: 4082066162 Enrollment ID: I20240115001644 |
Accessing Individual Minds, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10223 Vernlyn Dr, San Antonio, TX 78230 Phone: 210-413-3855 | |
Westover Hills Behavioral Therapy Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3903 Wiseman Blvd Ste 204, San Antonio, TX 78251 Phone: 210-521-1600 Fax: 210-521-1626 | |
Training Solutions And Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 Mabry, Suite 100, San Antonio, TX 78226 Phone: 210-922-1274 Fax: 210-932-9891 | |
South Texas Neuropsychological Associates Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3603 Paesanos Pkwy, Ste 300a, San Antonio, TX 78231 Phone: 210-614-3011 Fax: 210-615-6906 | |
Hillary Marvin Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6602 Ivywood Dr, San Antonio, TX 78249 Phone: 281-467-4917 | |
Third Space Counseling And Consultation, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1380 Pantheon Way Suite 245, San Antonio, TX 78232 Phone: 210-602-9499 |