Mr Timothy Pass, LCSW, LISW | |
5001 Chital Dr, Crowley, TX 76036-4259 | |
(859) 312-3272 | |
Not Available |
Full Name | Mr Timothy Pass |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 5001 Chital Dr, Crowley, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831485911 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | I.2204018 (Ohio) | Secondary |
1041C0700X | Social Worker - Clinical | 113272 (Texas) | Primary |
Entity Name | Alaniz Counseling And Behavioral Center Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811288731 PECOS PAC ID: 0648596924 Enrollment ID: O20150304000138 |
Mailing Address | Practice Location Address |
---|---|
Mr Timothy Pass, LCSW, LISW 5001 Chital Dr, Crowley, TX 76036-4259 Ph: (859) 312-3272 | Mr Timothy Pass, LCSW, LISW 5001 Chital Dr, Crowley, TX 76036-4259 Ph: (859) 312-3272 |
Adrina Denise Humphrey, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1004 Oarlock Dr, Crowley, TX 76036 Phone: 817-443-1467 | |
Shemila S. Chancellor, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 805 Fm 1187 E Ste B, Crowley, TX 76036 Phone: 817-888-8131 Fax: 817-928-1666 | |
Jessica M Ellison, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 805 Fm 1187 E Ste B, Crowley, TX 76036 Phone: 817-888-8131 Fax: 817-928-1666 | |
Mrs. Lori Denise Younts Coplen, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1205 Sharondale Dr, Crowley, TX 76036 Phone: 817-715-2476 | |
Sharla Roach Farmer, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 805 Fm 1187 E Ste B, Crowley, TX 76036 Phone: 817-928-1666 Fax: 817-928-1666 | |
Stephanie Bonilla, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 805 Fm 1187 E Ste B, Crowley, TX 76036 Phone: 817-888-8131 |