| Koby W Gooden, LCSW | |
|
20415 Gulf Victory Way, Fort Bliss, TX 79918-8066 | |
| (915) 744-1499 | |
| Not Available |
| Full Name | Koby W Gooden |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 20415 Gulf Victory Way, Fort Bliss, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841921988 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 2024034604 (Missouri) | Primary |
| Entity Name | Compass Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285619494 PECOS PAC ID: 1951206754 Enrollment ID: O20040408000955 |
| Mailing Address | Practice Location Address |
|---|---|
| Koby W Gooden, LCSW 20415 Gulf Victory Way, Fort Bliss, TX 79918-8066 Ph: (915) 744-1499 | Koby W Gooden, LCSW 20415 Gulf Victory Way, Fort Bliss, TX 79918-8066 Ph: (915) 744-1499 |
Ms. Rocio Erika Samaniego, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 18511 Highlander Medics St, Fort Bliss, TX 79906 Phone: 915-742-2800 | |
Haley Nicole Mclaughlin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 18511 Highlander Medics St, Fort Bliss, TX 79906 Phone: 915-569-3213 | |
Ms. Jamie Maxine Snider, MSSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1008 Carter Rd, Fort Bliss, TX 79916 Phone: 915-569-8438 Fax: 915-569-5712 | |
Ms. Kathleen Kay Burns, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 18511 Highlander Medics St, Fort Bliss, TX 79906 Phone: 915-742-4545 | |
Simone Rosson, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2485 Hinman Rd, A, Fort Bliss, TX 79916 Phone: 915-742-2800 | |
Cristine Monique Avalos, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 18511 Highlander Medics St, Fort Bliss, TX 79906 Phone: 915-742-2800 | |
Vivien Arlette Brite, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11335 Ssg Sims Rd, Fort Bliss, TX 79918 Phone: 915-742-1022 |