| Rickie Fleck Lcsw Pllc | |
|
4360 Mather Kyle TX 78640-9288 | |
| (512) 978-9500 | |
| Not Available |
| Full Name | Rickie Fleck Lcsw Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 4360 Mather, Kyle, Texas |
| Authorized Official Name and Position | Rickie Fleck (MANAGING MEMBER) |
| Authorized Official Contact | 5125607138 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rickie Fleck Lcsw Pllc 4360 Mather Kyle TX 78640-9288 Ph: () - | Rickie Fleck Lcsw Pllc 4360 Mather Kyle TX 78640-9288 Ph: (512) 978-9500 |
| NPI Number | 1407577075 |
|---|---|
| Provider Enumeration Date | 09/12/2022 |
| Last Update Date | 03/06/2023 |
| Certification Date | 03/06/2023 |
| Medicare PECOS PAC ID | 4082081054 |
|---|---|
| Medicare Enrollment ID | O20221103001519 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407577075 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Rickie Fleck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982174579 PECOS PAC ID: 1052788023 Enrollment ID: I20221103001720 |
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