Amy Husted, LICSW | |
15418 Main St, Mill Creek, WA 98012-9030 | |
(425) 225-8000 | |
Not Available |
Full Name | Amy Husted |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 15418 Main St, Mill Creek, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316603988 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LW61149864 (Washington) | Primary |
Entity Name | Optum Care Washington Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831186766 PECOS PAC ID: 6406752153 Enrollment ID: O20031211000922 |
Mailing Address | Practice Location Address |
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Amy Husted, LICSW 19508 29th Ave Se, Bothell, WA 98012-6913 Ph: (231) 750-5136 | Amy Husted, LICSW 15418 Main St, Mill Creek, WA 98012-9030 Ph: (425) 225-8000 |
Michael Gwanjaye, LW61575358 Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14623 Main St Apt B203, Mill Creek, WA 98012 Phone: 425-948-7248 | |
Stephen Joseph Clark, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 17414 Bothell Way Se, Mill Creek, WA 98012 Phone: 425-775-5955 Fax: 425-481-8367 | |
Ms. Katherine Elizabeth Gilyeat, BCBA, LBA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2209 139th Pl Se, Mill Creek, WA 98012 Phone: 425-248-5222 | |
Ms. Nancy Lynn Gagliano, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 16000 Bothell Everett Hwy, Suite 360, Mill Creek, WA 98012 Phone: 206-218-3016 | |
Elizabeth Vu, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15129 Main St Ste 201, Mill Creek, WA 98012 Phone: 425-390-8325 | |
Aisha Khan Qadri, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1401 141st Ct Se, Mill Creek, WA 98012 Phone: 425-492-4940 | |
Mr. Charles Owen Bartlett Iv, MSW LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 16000 Bothell Everett Hwy, 360, Mill Creek, WA 98012 Phone: 425-357-9111 |