Mr Marcus L Wade, LMSW/LCDC is a
Social Worker - Clinical based in Tyler, Texas. Mr Marcus L Wade is licensed to practice in Texas (license number 56749) and his current practice location is
401 E Front St Ste 145, Tyler, Texas. He can be reached at his office (for appointments etc.) via phone at
(903) 372-0349.
NPI number for Mr Marcus L Wade is 1780930768 and his current mailing address is 401 E Front St Ste 145, Tyler, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1780930768.
Healthcare Provider's Profile
| Full Name | Mr Marcus L Wade |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 401 E Front St Ste 145, Tyler, Texas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1780930768
- Provider Enumeration Date: 07/27/2012
- Last Update Date: 06/13/2024
Medical Identifiers
Medical identifiers for Mr Marcus L Wade such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1780930768 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 10748 (Texas) | Secondary |
| 1041C0700X | Social Worker - Clinical | 56749 (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. Mr Marcus L Wade 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 |
Mr Marcus L Wade, LMSW/LCDC 401 E Front St Ste 145, Tyler, TX 75702-8213 Ph: (903) 372-0349 | Mr Marcus L Wade, LMSW/LCDC 401 E Front St Ste 145, Tyler, TX 75702-8213 Ph: (903) 372-0349 |
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