Andrea L Charles, LICSW | |
920 6th St, Clarkston, WA 99403-2079 | |
(509) 254-5053 | |
(509) 769-3500 |
Full Name | Andrea L Charles |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 11 Years |
Location | 920 6th St, Clarkston, Washington |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730529165 | NPI | - | NPPES |
LW60737830 | Other | WA | LICENSE |
LCSW - 35066 | Other | ID | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCSW35066 (Idaho) | Secondary |
1041C0700X | Social Worker - Clinical | LW60737830 (Washington) | Primary |
Entity Name | Dragonfly Counseling Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730607854 PECOS PAC ID: 8224395090 Enrollment ID: O20171204000692 |
Mailing Address | Practice Location Address |
---|---|
Andrea L Charles, LICSW Po Box 2031, Clarkston, WA 99403-4031 Ph: (509) 254-5053 | Andrea L Charles, LICSW 920 6th St, Clarkston, WA 99403-2079 Ph: (509) 254-5053 |
Heidi Appleton, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 900 7th St, Clarkston, WA 99403 Phone: 509-758-3341 | |
Basia Cady, LSWAIC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 303 Bridge St Ste C, Clarkston, WA 99403 Phone: 509-254-5053 | |
Rachel J Carr, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 920 6th St, Clarkston, WA 99403 Phone: 509-254-5053 | |
Barbara A Bieker, BS SW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 900 7th St, Clarkston, WA 99403 Phone: 509-758-3341 Fax: 509-758-8009 | |
Denise A Comer, LPN Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 900 7th St, Clarkston, WA 99403 Phone: 509-758-3341 Fax: 509-769-6057 | |
Ms. Sundae Elaine Stone, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 920 6th St, Clarkston, WA 99403 Phone: 509-254-5053 |