| Mr Charles Jason Earle, LCSW | |
|
7703 N. Lamar Blvd, Suite 225, Austin, TX 78752-1131 | |
| (855) 553-2753 | |
| (855) 553-2753 |
| Full Name | Mr Charles Jason Earle |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 7703 N. Lamar Blvd, 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 |
|---|---|---|---|
| 1295173672 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 37698 (Texas) | Primary |
| Entity Name | Earle |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518330554 PECOS PAC ID: 1254632755 Enrollment ID: O20151228001487 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Charles Jason Earle, LCSW 4300 Speedway - Unit 4671, Austin, TX 78765 Ph: (855) 553-2753 | Mr Charles Jason Earle, LCSW 7703 N. Lamar Blvd, Suite 225, Austin, TX 78752-1131 Ph: (855) 553-2753 |
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 |