Unknown Individual – Clinical Social Worker, NPI 1780628594
Clinical Social Worker
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1402, Southeast 22nd Street, Mineral Wells, Palo Pinto County, Texas, 76067, United States
MINERAL WELLS, TX 760678039
Phone: (940) 325-2777
Fax: (940) 325-2699
Type: Mailing
Northeast 2nd Street, Mineral Wells, Palo Pinto County, Texas, 76067, United States
MINERAL WELLS, TX 76067
Phone: (940) 325-2777
Fax: (940) 325-2699
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 76067)
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