MEDICARE: MRS. RONSHAWDA WEBB-BIAS LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1194349225
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. RONSHAWDA WEBB-BIAS LCSW

Provider Business Mailing Address
First Line	:	DISTINCTIVE PATHWAYS LLC
Second Line	:	600 STRADA CIRCLE SUITE220
City	:	MANSFIELD
State	:	TX
Zip	:	76063
Country	:	US
Telephone Number	:	694-224-7679
Fax Number	:

Provider Business Practice Location Address
First Line	:	2522 LISA ST
Second Line	:
City	:	GRAND PRAIRIE
State	:	TX
Zip	:	75051-5425
Country	:	US
Telephone Number	:	318-588-0037
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/04/2020
Last Update Date	:	06/04/2020

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