| Mrs Donna Shemanne Nickerson, LCSW | |
|
621 Sw Johnson Ave, Burleson, TX 76028-5833 | |
| (817) 374-0155 | |
| Not Available |
| Full Name | Mrs Donna Shemanne Nickerson |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 621 Sw Johnson Ave, Burleson, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215349311 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 36829 (Texas) | Primary |
| Entity Name | 3 Dimension Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942608658 PECOS PAC ID: 7214254119 Enrollment ID: O20150401002124 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Donna Shemanne Nickerson, LCSW Po Box 24223, Fort Worth, TX 76124-1223 Ph: (817) 374-0155 | Mrs Donna Shemanne Nickerson, LCSW 621 Sw Johnson Ave, Burleson, TX 76028-5833 Ph: (817) 374-0155 |
Claudia Stanley, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2915 S Burleson Blvd, Burleson, TX 76028 Phone: 817-447-3001 | |
Kayla Autry, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2915 S Burleson Blvd, Burleson, TX 76028 Phone: 817-447-3001 | |
Darcy Ciesynski, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6924 Shady Hills Ln, Burleson, TX 76028 Phone: 817-437-3189 | |
Ashley Ketchum, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2915 S Burleson Blvd, Burleson, TX 76028 Phone: 817-447-3001 | |
Randy Cooper, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1619 Fraser Dr, Burleson, TX 76028 Phone: 682-999-2579 | |
Elizabeth Page, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Po Box 2426, Burleson, TX 76097 Phone: 817-247-9438 |