Nancy R Divis Lcsw-s Pllc | |
2020 Fm 967 Buda TX 78610-2877 | |
(512) 392-9296 | |
Not Available |
Full Name | Nancy R Divis Lcsw-s Pllc |
---|---|
Speciality | Social Worker |
Location | 2020 Fm 967, Buda, Texas |
Authorized Official Name and Position | Nancy Divas (SOLE MEMBER) |
Authorized Official Contact | 5123929296 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Nancy R Divis Lcsw-s Pllc 117 Old Settlers Dr San Marcos TX 78666-7779 Ph: () - | Nancy R Divis Lcsw-s Pllc 2020 Fm 967 Buda TX 78610-2877 Ph: (512) 392-9296 |
NPI Number | 1730723230 |
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Provider Enumeration Date | 10/29/2019 |
Last Update Date | 10/29/2019 |
Medicare PECOS PAC ID | 2961835509 |
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Medicare Enrollment ID | O20191212000294 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730723230 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Nancy R Divis |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1609003094 PECOS PAC ID: 4385782796 Enrollment ID: I20091104000682 |
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