Practical Wisdom Counseling PLLC

Organization Active NPI Clinical Social Worker · Commerce, TX

NPI 1780458422 · NPPES record last updated Nov 13, 2023

Key facts

NPI
1780458422
Entity type
Organization (NPI type 2)
Primary specialty
Clinical Social Worker 1041C0700X
Legal business name
PRACTICAL WISDOM COUNSELING PLLC
Practice address
101 King PLZ Ste D
Commerce, TX 75428-3734
Phone
(214) 714-8021
NPI assigned
Nov 13, 2023
Organization subpart
No

Authorized official

Name
Suzette Doescher, LCSW
Title
Owner
Phone
(214) 714-8021

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TX

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20240103001255 TX Part B Supplier - Clinic/Group Practice 2062862006 Receives reassigned benefits from 1 practitioner
Practice locations: Commerce, TX

National Provider Directory

Tax ID family
Practical Wisdom (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker
Group: 193400000X SINGLE SPECIALTY GROUP
1041C0700X Yes

Addresses

Primary practice location

101 King PLZ Ste D
Commerce, TX 75428-3734

Mailing address

101 King PLZ Ste D
Commerce, TX 75428-3734
Phone (214) 714-8021

Other providers in Commerce, TX

All providers in Commerce, TX · Clinical Social Worker in Texas

Sources for this page

Verify at the official NPI Registry.