| Ms Kristi K Tanaka, LCSW, DCSW, BCD | |
|
540 Oak Centre Dr Ste 205, San Antonio, TX 78258-4767 | |
| (844) 824-8775 | |
| (281) 648-2200 |
| Full Name | Ms Kristi K Tanaka |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 540 Oak Centre Dr Ste 205, San Antonio, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033350251 | NPI | - | NPPES |
| BCD-58629 | Other | AMERICAN BOARD OF EXAMINERS IN CLINICAL SOCIAL WORK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 3555 (Hawaii) | Secondary |
| 1041C0700X | Social Worker - Clinical | 111253 (Texas) | Primary |
| Entity Name | Progressive Behavioral Health, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659567238 PECOS PAC ID: 4486794906 Enrollment ID: O20091214000763 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Kristi K Tanaka, LCSW, DCSW, BCD 3478 Salt Lake Blvd, Honolulu, HI 96818-2124 Ph: (808) 755-9370 | Ms Kristi K Tanaka, LCSW, DCSW, BCD 540 Oak Centre Dr Ste 205, San Antonio, TX 78258-4767 Ph: (844) 824-8775 |
Ms. Nadine Louise Garcia, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6522 Camp Bullis Rd Apt 5203, San Antonio, TX 78256 Phone: 210-394-4868 | |
Mr. Elliot Joseph Cruz, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4242 Medical Dr, 7100, San Antonio, TX 78229 Phone: 210-216-2739 | |
Ms. Lynette Edens Hutchins, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 25026 Summit Crk, San Antonio, TX 78258 Phone: 210-325-0660 | |
Mrs. Rebecca May Clinton, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2130 Ne Loop 410 Ste 100, San Antonio, TX 78217 Phone: 210-656-7177 | |
Melissa D Miller, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7526 Louis Pasteur Dr, #318, San Antonio, TX 78229 Phone: 210-450-6450 | |
Karen C Keating, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 4203 Woodcock Dr Ste 216, San Antonio, TX 78228 Phone: 210-564-9116 Fax: 210-564-9087 | |
Kevin Lynch, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4835 Medical Dr. 40314, San Antonio, TX 78229 Phone: 210-367-6904 |