| Tamera Wright, LCSW | |
|
5445 Legacy Dr, Plano, TX 75024-3309 | |
| (512) 956-6463 | |
| Not Available |
| Full Name | Tamera Wright |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 5445 Legacy Dr, Plano, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639916950 | NPI | - | NPPES |
| 107027 | Other | TX | LCSW |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 107027 (Texas) | Primary |
| Entity Name | Deep Eddy Psychotherapy Management, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457740862 PECOS PAC ID: 2264886936 Enrollment ID: O20230928002745 |
| Mailing Address | Practice Location Address |
|---|---|
| Tamera Wright, LCSW 5445 Legacy Dr, Plano, TX 75024-3309 Ph: (512) 956-6463 | Tamera Wright, LCSW 5445 Legacy Dr, Plano, TX 75024-3309 Ph: (512) 956-6463 |
Mrs. Lilian Inutu Bollers, LCSW-C, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7101 Chase Oaks Blvd 128, Plano, TX 75025 Phone: 240-731-0457 | |
Robert Novick, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 520 Central Pkwy E Ste 234, Plano, TX 75074 Phone: 214-586-0066 | |
Carolyn Jule Marshall, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3400 Coit Rd., #260594, Plano, TX 75075 Phone: 214-205-4539 | |
Danesa Daniel, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8105 Rasor Blvd, Suite 259, Plano, TX 75024 Phone: 469-850-2420 | |
Linda May, LCSW, LCDC Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2700 Dallas Pkwy, Plano, TX 75093 Phone: 469-701-1166 | |
Sheri L Willis, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7601 Preston Rd, Plano, TX 75024 Phone: 469-303-7000 | |
Kayla Jean Martin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4001 W 15th St Ste 465, Plano, TX 75093 Phone: 972-985-1599 |