Bethany Moore Polk, LCSW | |
3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | |
(210) 916-7500 | |
Not Available |
Full Name | Bethany Moore Polk |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 3551 Roger Brooke Dr, Fort Sam Houston, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619711645 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 66357 (Texas) | Primary |
Entity Name | Usawa Wellness Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588185821 PECOS PAC ID: 1557788148 Enrollment ID: O20240122001032 |
Mailing Address | Practice Location Address |
---|---|
Bethany Moore Polk, LCSW 3016 Greenshire Dr, Schertz, TX 78154-3708 Ph: (254) 289-7783 | Bethany Moore Polk, LCSW 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 Ph: (210) 916-7500 |
Jessica Fuller, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-808-1859 | |
Mrs. Kathryn Elaine Helland, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-9582 | |
Ms. Melisa Dawn Martinez, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-1397 | |
Ms. Janet K. Belton, L.I.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-221-6346 | |
Takiya Rochelle Roscoe, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-9582 | |
Donna Graf, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Brooke Army Medical Center, 3551 Roger Brooke Drive, Fort Sam Houston, TX 78234 Phone: 210-916-4141 | |
Mrs. Siniqua Copeland, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 706-304-3207 |