| Gwendolynne Noonan, LCSW | |
|
697 Louisiana Rd, Dyess Afb, TX 79607-1141 | |
| (325) 696-4262 | |
| (325) 696-4262 |
| Full Name | Gwendolynne Noonan |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 4 Years |
| Location | 697 Louisiana Rd, Dyess Afb, 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 |
|---|---|---|---|
| 1346987823 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C017925 (North Carolina) | Primary |
| 1041C0700X | Social Worker - Clinical | 115475 (Texas) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pride In North Carolina Llc | 9638105869 | 32 |
| Entity Name | Pride In North Carolina Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760420186 PECOS PAC ID: 9638105869 Enrollment ID: O20050711000558 |
| Mailing Address | Practice Location Address |
|---|---|
| Gwendolynne Noonan, LCSW 1318 Circle Dr, Abilene, TX 79602-5304 Ph: (303) 550-9491 | Gwendolynne Noonan, LCSW 697 Louisiana Rd, Dyess Afb, TX 79607-1141 Ph: (325) 696-4262 |
Ms. Linda M Oberle, LMSW-C Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 687 Louisiana Drive, Dyess Afb, TX 79607 Phone: 325-696-5380 | |
Mr. Arnold Joseph Sauve, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 7th Medical Group, 697 Louisiana Rd, Dyess Afb, TX 79607 Phone: 325-696-5380 Fax: 325-696-5579 | |
Mr. James Anthony Sanniola, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 697 Louisiana Rd Bldg 9201, Dyess Afb, TX 79607 Phone: 325-696-4677 | |
Ashley Marie Ertel, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 697 Louisiana Rd, Dyess Afb, TX 79607 Phone: 570-688-5811 Fax: 325-696-5380 | |
Ms. Michelle A Gutierrez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 697 Louisiana Rd, Dyess Afb, TX 79607 Phone: 325-696-8116 | |
Mrs. Alicia W Edwards, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 697 Lousianna Dr, Dyess Afb, TX 79607 Phone: 325-696-5380 |