| Adris Moffett, LMSW | |
|
101 S Jennings Ave Ste 203, Fort Worth, TX 76104-1118 | |
| (318) 238-3197 | |
| (318) 238-3199 |
| Full Name | Adris Moffett |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 12 Years |
| Location | 101 S Jennings Ave Ste 203, Fort Worth, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346603164 | NPI | - | NPPES |
| 721442261 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 12707 (Louisiana) | Secondary |
| 1041C0700X | Social Worker - Clinical | 50606 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sondermind Provider Network Llc | 9537572490 | 874 |
| Entity Name | Next Steps Professional Counseling Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326650755 PECOS PAC ID: 3870912181 Enrollment ID: O20201005002739 |
| Entity Name | Sondermind Provider Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210326001541 |
| Mailing Address | Practice Location Address |
|---|---|
| Adris Moffett, LMSW Po Box 414, Haslet, TX 76052-0414 Ph: (682) 250-0988 | Adris Moffett, LMSW 101 S Jennings Ave Ste 203, Fort Worth, TX 76104-1118 Ph: (318) 238-3197 |
Scharlyn R Henderson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1500 Cooper St, Fort Worth, TX 76104 Phone: 682-885-1475 Fax: 682-885-7520 | |
Catherine Collier, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2200 Tremont Ave, Fort Worth, TX 76107 Phone: 817-732-4035 | |
Miss Bethany Wallace, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4686 Bristol Trace Trl, Fort Worth, TX 76244 Phone: 817-705-1586 | |
Catherine Rice, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6778 Camp Bowie Blvd Ste 229, Fort Worth, TX 76116 Phone: 682-703-1311 | |
Yolanda Wilson Smith, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3840 Hulen St, Htn, Client Accounting, Fort Worth, TX 76107 Phone: 817-569-4300 | |
Jennifer Blandford, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2404 Canyon Wren Ln, Fort Worth, TX 76244 Phone: 630-618-8887 | |
Tela Hedberg Thornton, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3200 Sanguinet St, Fort Worth, TX 76107 Phone: 817-255-2652 Fax: 817-255-2657 |