Chanda Maureen Driscoll, LCSW | |
2965 Ne Conners Ave, Suite 280, Bend, OR 97701-7753 | |
(541) 323-4269 | |
(541) 383-1883 |
Full Name | Chanda Maureen Driscoll |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 2965 Ne Conners Ave, Bend, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588976559 | NPI | - | NPPES |
500708564 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 596 (Alaska) | Secondary |
1041C0700X | Social Worker - Clinical | L6154 (Oregon) | Primary |
Entity Name | Fall Creek Internal Medicine, Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518005222 PECOS PAC ID: 7810980497 Enrollment ID: O20040407001576 |
Mailing Address | Practice Location Address |
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Chanda Maureen Driscoll, LCSW 600 Sw Columbia St, Suite 6210, Bend, OR 97702-1099 Ph: (541) 383-3005 | Chanda Maureen Driscoll, LCSW 2965 Ne Conners Ave, Suite 280, Bend, OR 97701-7753 Ph: (541) 323-4269 |
Jessica Marcev, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2669 Ne Twin Knolls Dr Ste 103, Bend, OR 97701 Phone: 541-205-9235 | |
Brianna Morzov, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2500 Ne Neff Rd, Bend, OR 97701 Phone: 541-516-3890 Fax: 541-926-4247 | |
Wendy Friess, CSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 63325 Silvis Rd, Bend, OR 97701 Phone: 541-389-2748 | |
Kirsten Romney, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 22022 Nelson Rd, Bend, OR 97701 Phone: 541-617-8989 | |
Carla Elizabeth Jackson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2500 Ne Neff Rd, Bend, OR 97701 Phone: 541-706-6363 | |
Veronica Leigh Mcclain, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 220 Nw Oregon Ave Ste 202, Bend, OR 97703 Phone: 541-846-8173 | |
Travis Sammon, MSW, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2577 Ne Courtney Dr, Bend, OR 97701 Phone: 541-322-7500 Fax: 541-330-4642 |