| Aileen Wainwright, Lcsw Inc. | |
|
605 Shady Ln N Keller TX 76248-2645 | |
| (817) 522-6622 | |
| (817) 379-1933 |
| Full Name | Aileen Wainwright, Lcsw Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 605 Shady Ln N, Keller, Texas |
| Authorized Official Name and Position | Aileen Devereaux (OWNER) |
| Authorized Official Contact | 8175226622 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aileen Wainwright, Lcsw Inc. 605 Shady Ln N Keller TX 76248-2645 Ph: (817) 522-6622 | Aileen Wainwright, Lcsw Inc. 605 Shady Ln N Keller TX 76248-2645 Ph: (817) 522-6622 |
| NPI Number | 1609303791 |
|---|---|
| Provider Enumeration Date | 05/19/2017 |
| Last Update Date | 02/02/2021 |
| Certification Date | 02/02/2021 |
| Medicare PECOS PAC ID | 1759650070 |
|---|---|
| Medicare Enrollment ID | O20170629002575 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609303791 | NPI | - | NPPES |
| 2879785-03 | Medicaid | TX | |
| 2879785-02 | Medicaid | TX | |
| 400299001 | Medicaid | TX | |
| 2879785-04 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 41287 (Texas) | Primary |
| Provider Name | Aileen Carole Wainwright |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780831396 PECOS PAC ID: 1951622281 Enrollment ID: I20150611001392 |
Crawford Clinics Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1664 Keller Pkwy Ste 102, Keller, TX 76248 Phone: 817-601-5540 | |
Workforce Career Solutions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1141 Keller Pkwy Ste E, Keller, TX 76248 Phone: 817-996-7997 | |
Hosanna Learning Solutions Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 832 Keller Smithfield Rd S, Keller, TX 76248 Phone: 302-983-1125 | |
Alive And Well Recovery Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 204 S Main St, Keller, TX 76248 Phone: 817-944-7871 | |
Geriatric Mental Health Specialists Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 Whitley Rd, Keller, TX 76248 Phone: 817-379-0795 | |
Katharos Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 113 E Hill St, Keller, TX 76248 Phone: 817-360-9806 | |
Divinity Aba, Llc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1508 Emerald Knoll Drive, Keller, TX 76248 Phone: 817-455-5920 |