Betty Louise Wagner, LCSW | |
251 Ne Garden Valley Blvd Ste B, Roseburg, OR 97470 | |
(309) 360-7749 | |
Not Available |
Full Name | Betty Louise Wagner |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 251 Ne Garden Valley Blvd Ste B, Roseburg, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720132129 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 6801081590 (Michigan) | Secondary |
1041C0700X | Social Worker - Clinical | L7525 (Oregon) | Primary |
Entity Name | Rogue Psych Consultants Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447727110 PECOS PAC ID: 1850632415 Enrollment ID: O20190408002460 |
Mailing Address | Practice Location Address |
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Betty Louise Wagner, LCSW 251 Ne Garden Valley Blvd Ste B, Roseburg, OR 97470-2085 Ph: (541) 579-8100 | Betty Louise Wagner, LCSW 251 Ne Garden Valley Blvd Ste B, Roseburg, OR 97470 Ph: (309) 360-7749 |
Mrs. Janelle Elise Peterson, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 913 Nw Garden Valley Blvd, Roseburg, OR 97471 Phone: 541-440-1000 Fax: 541-440-1356 | |
Lawrence David Elkins, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2700 Nw Stewart Pkwy, Roseburg, OR 97471 Phone: 541-464-4456 Fax: 541-440-3554 | |
Mr. Winslow Neel Azpeitia, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 621 W Madrone St, Roseburg, OR 97470 Phone: 541-440-3532 | |
Rosemary M Unterseher, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 621 W Madrone St, Roseburg, OR 97470 Phone: 541-440-3673 Fax: 541-440-3508 | |
Megan Gene Buckley, CSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 850 Se Rose St, Roseburg, OR 97470 Phone: 541-900-1506 Fax: 541-900-1507 | |
Celeste D Huffaker, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2225 Nw Stewart Pkwy Ste 200, Roseburg, OR 97471 Phone: 541-900-4285 | |
Jennie Teresa Maceachern, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 913 Nw Garden Valley Blvd, Roseburg, OR 97471 Phone: 541-440-1000 Fax: 541-440-1000 |