Angela Mierau, LCSW | |
999 Nw Circle Blvd, Corvallis, OR 97330-1408 | |
(541) 754-2225 | |
Not Available |
Full Name | Angela Mierau |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 999 Nw Circle Blvd, Corvallis, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992417786 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | L11210 (Oregon) | Primary |
Entity Name | Evergreen Wellness Counseling Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134907546 PECOS PAC ID: 6901254176 Enrollment ID: O20231128003323 |
Mailing Address | Practice Location Address |
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Angela Mierau, LCSW 999 Nw Circle Blvd, Corvallis, OR 97330-1408 Ph: (541) 754-2225 | Angela Mierau, LCSW 999 Nw Circle Blvd, Corvallis, OR 97330-1408 Ph: (541) 754-2225 |
Fahlene Lockwood, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2075 Nw Grant Ave, Corvallis, OR 97330 Phone: 541-368-3152 Fax: 855-279-0612 | |
Alison Roffman, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3512 Se Bayou Pl, Corvallis, OR 97333 Phone: 541-908-1320 | |
Patty J Koker, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 530 Nw 27th St, Corvallis, OR 97330 Phone: 541-766-6835 | |
Laila Josephine Ayyoub, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3085 Nw Deer Run St, Corvallis, OR 97330 Phone: 541-760-0777 | |
Tanya Lee Katz, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4185 Sw Research Way Ste 110, Corvallis, OR 97333 Phone: 541-257-5500 | |
Mr. Alan Andrew Schrader, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3680 Nw Samaritan Dr, Corvallis, OR 97330 Phone: 541-766-2195 | |
Nicole Applebaum, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 114 Sw 8th St, Corvallis, OR 97333 Phone: 541-974-8873 |