| Ms Shawna Gaylen Theriot, LCSW | |
|
12050 Vance Jackson Rd Ste 201, San Antonio, TX 78230-1183 | |
| (281) 620-3596 | |
| Not Available |
| Full Name | Ms Shawna Gaylen Theriot |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 23 Years |
| Location | 12050 Vance Jackson Rd Ste 201, San Antonio, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568927473 | NPI | - | NPPES |
| 02451951 | Other | TX | DRIVER'S LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 37722 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Usawa Wellness Services | 1557788148 | 4 |
| Entity Name | Usawa Wellness Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588185821 PECOS PAC ID: 1557788148 Enrollment ID: O20240122001032 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Shawna Gaylen Theriot, LCSW 12050 Vance Jackson Rd Ste 201, San Antonio, TX 78230-1183 Ph: (281) 620-3596 | Ms Shawna Gaylen Theriot, LCSW 12050 Vance Jackson Rd Ste 201, San Antonio, TX 78230-1183 Ph: (281) 620-3596 |
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 | |
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: Not Enrolled in Medicare 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 | |
Mrs. Denise Ann Flores, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 903 W Martin St, San Antonio, TX 78207 Phone: 210-358-5906 |