| Ben Chamberlain Jr, LCSW | |
|
1111 W Adoue St, Alvin, TX 77511-2718 | |
| (281) 824-1480 | |
| (281) 220-6407 |
| Full Name | Ben Chamberlain Jr |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 1111 W Adoue St, Alvin, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205695095 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 104573 (Texas) | Primary |
| Entity Name | Stephen F. Austin Community Health Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578730818 PECOS PAC ID: 6204977127 Enrollment ID: O20100113000886 |
| Mailing Address | Practice Location Address |
|---|---|
| Ben Chamberlain Jr, LCSW 1612 Callaway Dr, Alvin, TX 77511-3743 Ph: (281) 824-1480 | Ben Chamberlain Jr, LCSW 1111 W Adoue St, Alvin, TX 77511-2718 Ph: (281) 824-1480 |
Melissa Negrete, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1111 W Adoue St, Alvin, TX 77511 Phone: 281-824-1480 | |
Mr. Jay A Seligman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 406 S Gordon St, Alvin, TX 77511 Phone: 281-331-2934 Fax: 281-585-3709 | |
Melinda Spencer Vanzant, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1112 Smith Dr, Alvin, TX 77511 Phone: 718-506-1115 | |
Elizabeth J Adeseko, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1111 W Adoue St, Alvin, TX 77511 Phone: 281-824-1480 Fax: 281-824-1479 |