| Phillip Hampton, | |
|
1751 Broad Park Cir S, Mansfield, TX 76063-7826 | |
| (817) 539-2282 | |
| Not Available |
| Full Name | Phillip Hampton |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 1751 Broad Park Cir S, Mansfield, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992283428 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 150015775 (Illinois) | Secondary |
| 1041C0700X | Social Worker - Clinical | 56447 (Texas) | Primary |
| Entity Name | Grow Healthcare Group PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220525002138 |
| Mailing Address | Practice Location Address |
|---|---|
| Phillip Hampton, Po Box 543111, Grand Prairie, TX 75054-3111 Ph: (972) 262-5242 | Phillip Hampton, 1751 Broad Park Cir S, Mansfield, TX 76063-7826 Ph: (817) 539-2282 |
Mr. Michael Lee Weed, L.C,S.W, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1221 Brookfield Ln, Mansfield, TX 76063 Phone: 817-239-0823 |
Maria Kassandra Rivas, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1804 Owen Ct Ste 100, Mansfield, TX 76063 Phone: 817-812-2880 |
Tiffany C Mylett, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 751 E Debbie Ln Ste 105, Mansfield, TX 76063 Phone: 682-422-9140 Fax: 682-258-0441 |
Erica Sylvia Mitchell, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1725 E Broad St Unit 4031, Mansfield, TX 76063 Phone: 510-691-7171 |
Mrs. Sheri Marie Wolf, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 501 E Broad St, Mansfield, TX 76063 Phone: 817-690-4910 Fax: 817-477-1705 |
Jamye Mcmillin, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 808 North St, Mansfield, TX 76063 Phone: 817-233-3265 |
Caitlin Tesch, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1900 Matlock Rd # 2, Mansfield, TX 76063 Phone: 817-500-5984 |