Chantelle Chiratidzo Estil, LCSW | |
1317 Lawnridge Ave, Springfield, OR 97477-2473 | |
(541) 852-0342 | |
Not Available |
Full Name | Chantelle Chiratidzo Estil |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1317 Lawnridge Ave, Springfield, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871355107 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | L11541 (Oregon) | Primary |
Entity Name | Mindful Therapy Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316238678 PECOS PAC ID: 4981872561 Enrollment ID: O20210301001586 |
Mailing Address | Practice Location Address |
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Chantelle Chiratidzo Estil, LCSW 1317 Lawnridge Ave, Springfield, OR 97477-2473 Ph: (541) 852-0342 | Chantelle Chiratidzo Estil, LCSW 1317 Lawnridge Ave, Springfield, OR 97477-2473 Ph: (541) 852-0342 |
Heather Young Townsend, CSWA, CADC1 Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1800 Centennial Blvd, Springfield, OR 97477 Phone: 541-747-4300 Fax: 541-744-6116 | |
Warren Douglas Martin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2073 Olympic Street, Springfield, OR 97477 Phone: 541-682-3550 Fax: 541-682-3551 | |
Ms. Susan Margaret Trefts, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 946 E Street, Springfield, OR 97477 Phone: 541-852-0351 | |
Ms. Mary Jo Sanders, RN, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1651 Centennial Blvd, Springfield, OR 97477 Phone: 541-762-4551 | |
Stephanie A Simons, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1126 Gateway Loop Ste 140, Springfield, OR 97477 Phone: 541-654-8107 | |
Ms. Judith M. Green, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3995 Marcola Rd, Springfield, OR 97477 Phone: 541-726-1465 Fax: 541-726-5085 | |
Celia Rae Mansfield, CSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1126 Gateway Loop, Springfield, OR 97477 Phone: 541-670-5231 |