| Ms Carmen Gentry-becerra, LCSW | |
|
9434 Viscount Blvd Ste 142, El Paso, TX 79925-7053 | |
| (915) 206-0862 | |
| (915) 219-9022 |
| Full Name | Ms Carmen Gentry-becerra |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 9434 Viscount Blvd Ste 142, El Paso, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104512573 | NPI | - | NPPES |
| 457180405 | Medicaid | TX | |
| 1922799808 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 60636 (Texas) | Primary |
| Entity Name | Supportive Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477895043 PECOS PAC ID: 7719126655 Enrollment ID: O20130625000484 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Carmen Gentry-becerra, LCSW 9434 Viscount Blvd Ste 142, El Paso, TX 79925-7053 Ph: (915) 206-0862 | Ms Carmen Gentry-becerra, LCSW 9434 Viscount Blvd Ste 142, El Paso, TX 79925-7053 Ph: (915) 206-0862 |
Joseph W Black, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5005 N Piedras St, William Beaumont Army Medical Center, El Paso, TX 79920 Phone: 915-742-6382 Fax: 915-569-4890 | |
Valeria Garcia, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12551 New Dawn Dr, El Paso, TX 79928 Phone: 915-319-0888 | |
Mr. Jose Arturo Camacho, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5001 N Piedras St, El Paso, TX 79930 Phone: 915-564-6100 | |
Martha L Ballesteros, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11725 Snow Hawk Dr, El Paso, TX 79936 Phone: 915-630-6383 | |
Elisa Ivet Dobler, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1601 E Yandell Dr, El Paso, TX 79902 Phone: 915-887-3410 | |
Christine Alvarez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5001 N Piedras St, El Paso, TX 79930 Phone: 915-564-6100 | |
Mr. Jesus Espinosa Valenzuela, LMSW/ACP, LMFT Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1725 E Yandell Dr, El Paso, TX 79902 Phone: 915-544-0772 Fax: 915-534-7887 |