| Dr Edward J Muldrow Iii, LCSW,PHD | |
|
1560 W Bay Area Blvd, Suite 110, Friendswood, TX 77546-2667 | |
| (281) 480-2400 | |
| (281) 480-2407 |
| Full Name | Dr Edward J Muldrow Iii |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 26 Years |
| Location | 1560 W Bay Area Blvd, Friendswood, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851378814 | NPI | - | NPPES |
| 163329901 | Medicaid | TX | |
| 0006LJ | Other | TX | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 33383 (Texas) | Secondary |
| 1041C0700X | Social Worker - Clinical | 149.024548 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Transitional Life Counseling And Counsultation | 2365634300 | 2 |
| Sondermind Provider Network Llc | 9537572490 | 874 |
| Entity Name | Transitional Life Counseling And Counsultation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861649295 PECOS PAC ID: 2365634300 Enrollment ID: O20101008000112 |
| Entity Name | Bmsc Tx Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215485198 PECOS PAC ID: 1052680949 Enrollment ID: O20170710000725 |
| 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 |
| Entity Name | Kotel Atx |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568055192 PECOS PAC ID: 9537578810 Enrollment ID: O20210518000994 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Edward J Muldrow Iii, LCSW,PHD 7524 S State Rd, Chicago, IL 60638-6624 Ph: (832) 233-2791 | Dr Edward J Muldrow Iii, LCSW,PHD 1560 W Bay Area Blvd, Suite 110, Friendswood, TX 77546-2667 Ph: (281) 480-2400 |
Michael D. Ross, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2051 W Parkwood Ave, Friendswood, TX 77546 Phone: 281-482-3883 Fax: 281-482-9430 | |
Ms. Debra K Matos, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1604 Orlando St, Friendswood, TX 77546 Phone: 240-888-5066 | |
Abbey Catherine Shultz, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 308 S Friendswood Dr Ste 110, Friendswood, TX 77546 Phone: 281-993-3733 Fax: 281-648-2200 | |
Mary Mainville, MSW, MED,LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 308 S Friendswood Dr Ste 110, Friendswood, TX 77546 Phone: 281-993-3733 | |
Paige Ellison Neumeyer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 802 Robin Ridge Cir, Friendswood, TX 77546 Phone: 281-687-9558 | |
James Donald Lyle, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 211 E Parkwood Ave, Friendswood, TX 77546 Phone: 281-482-5999 Fax: 291-993-2354 | |
Veronica Brown, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 903 Shady Bend Ln, Friendswood, TX 77546 Phone: 832-510-5017 Fax: 832-284-7072 |