| Ms Autumn Lea Rodriguez, LCSW | |
|
1100 Wilford Hall Loop, Jbsa Lackland, TX 78236-5638 | |
| (210) 221-1996 | |
| Not Available |
| Full Name | Ms Autumn Lea Rodriguez |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1100 Wilford Hall Loop, Jbsa Lackland, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164295796 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 106095 (Texas) | Primary |
| Entity Name | Alamo Heights Counseling Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528301579 PECOS PAC ID: 1355576521 Enrollment ID: O20131023001365 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Autumn Lea Rodriguez, LCSW 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236-5638 Ph: () - | Ms Autumn Lea Rodriguez, LCSW 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236-5638 Ph: (210) 221-1996 |
Ericniesha Taylor, LCSW-C, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop, Bldg. 4554, 59 Mdw/gme, Jbsa Lackland, TX 78236 Phone: 210-292-5972 | |
Mrs. Charlene Burrell White, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-671-0384 | |
Kara Lee Davis, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-292-7749 | |
Mr. Mark Allan Oliver, LISW-CP, PHD Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-292-5859 | |
Frances H. Martinez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236 Phone: 210-671-6665 | |
Mrs. Brittney Theresa Yun, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236 Phone: 210-292-7361 |