| Marina Randall, | |
|
5900 Balcones Dr, Austin, TX 78731-4257 | |
| (469) 553-5010 | |
| Not Available |
| Full Name | Marina Randall |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 5900 Balcones Dr, Austin, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003594755 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 66097 (Texas) | Primary |
| 1041C0700X | Social Worker - Clinical | 23576 (Arizona) | Secondary |
| Entity Name | Sabine Valley Regional Mhmr Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639232002 PECOS PAC ID: 0143202580 Enrollment ID: O20040601001132 |
| Mailing Address | Practice Location Address |
|---|---|
| Marina Randall, 5900 Balcones Dr, Austin, TX 78731-4257 Ph: () - | Marina Randall, 5900 Balcones Dr, Austin, TX 78731-4257 Ph: (469) 553-5010 |
Joanne Frances Carrubba, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1433 Fairfield Dr, Austin, TX 78758 Phone: 512-491-8444 Fax: 512-491-0226 | |
Ms. Karen R. Dorrier, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 56 East Ave, Austin, TX 78701 Phone: 512-703-1396 Fax: 512-703-1390 | |
Jennifer Rae Wilhelm, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6100 Bull Creek Rd, Austin, TX 78757 Phone: 646-284-2210 | |
Ms. Tara Chivukula, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1500 W 38th St Ste 31, Austin, TX 78731 Phone: 512-270-1184 | |
Mrs. Darcie Deshazo Graham, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1600 Payton Gin Rd, Austin, TX 78758 Phone: 512-836-2150 Fax: 512-836-2159 | |
Adrienne Elizabeth Robison, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1524 S Ih 35 Ste 100, Austin, TX 78704 Phone: 469-867-5817 | |
Amanda Lorina Vacirca, LCSW, LCDC Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 4005 Spicewood Springs Rd Ste B401, Austin, TX 78759 Phone: 512-807-0898 |