Kathleen Wakefield, LMSW-ACP is a
Social Worker - Clinical based in Tyler, Texas. Kathleen Wakefield is licensed to practice in Texas (license number 22205) and her current practice location is
2323 W Front St, Tyler, Texas. She can be reached at her office (for appointments etc.) via phone at
(903) 597-1351.
NPI number for Kathleen Wakefield is 1063481380 and her current mailing address is Po Box 4730, Tyler, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063481380.
Healthcare Provider's Profile
| Full Name | Kathleen Wakefield |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 2323 W Front St, Tyler, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1063481380
- Provider Enumeration Date: 03/17/2006
- Last Update Date: 01/04/2024
Medical Identifiers
Medical identifiers for Kathleen Wakefield such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063481380 | NPI | - | NPPES |
| 169604901 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 22205 (Texas) | Secondary |
| 1041C0700X | Social Worker - Clinical | 22205 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kathleen Wakefield is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kathleen Wakefield, LMSW-ACP
Po Box 4730,
Tyler, TX 75712-4730
Ph: (903) 535-7355 | Kathleen Wakefield, LMSW-ACP
2323 W Front St,
Tyler, TX 75702-7704
Ph: (903) 597-1351 |
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