Carmelle R Boyd, MSW | |
1111 S 2nd Ave, Walla Walla, WA 99362-4118 | |
(509) 522-0100 | |
(509) 527-8010 |
Full Name | Carmelle R Boyd |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1111 S 2nd Ave, Walla Walla, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598032740 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LW60159494 (Washington) | Primary |
Entity Name | Providence Health & Services - Washington |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922259738 PECOS PAC ID: 2860552973 Enrollment ID: O20081223000478 |
Mailing Address | Practice Location Address |
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Carmelle R Boyd, MSW 1111 S 2nd Ave, Walla Walla, WA 99362-4118 Ph: (509) 522-0100 | Carmelle R Boyd, MSW 1111 S 2nd Ave, Walla Walla, WA 99362-4118 Ph: (509) 522-0100 |
Steven Gilbert Dalgleish, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1151 Hobson St, Walla Walla, WA 99362 Phone: 509-386-4807 | |
Mrs. Laura Grace Reiber, LICSW ACSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2330 Eastgate St Ste 207, Walla Walla, WA 99362 Phone: 509-876-4009 Fax: 509-946-1430 | |
Rodney John Opsal, A.C.S.W., L.I.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 77 Wainwright Dr, Walla Walla, WA 99362 Phone: 509-525-5200 Fax: 509-527-6113 | |
Dawn Irene Avery, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 77 Wainwright Dr, Walla Walla, WA 99362 Phone: 509-525-5200 | |
Ms. Teresa Wiedemann, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 139 Russet Rd, Walla Walla, WA 99362 Phone: 509-520-4370 | |
Laura Marie Dixson, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 77 Wainwright Dr Bldg 135, Walla Walla, WA 99362 Phone: 509-525-5200 | |
Mrs. Erica Swingholm Mireles, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 401 W Main St Ste 101, Walla Walla, WA 99362 Phone: 509-301-2720 |