Danielle Louise Martin, LCSW | |
1000 E Main St, Medford, OR 97504-7667 | |
(541) 773-3863 | |
Not Available |
Full Name | Danielle Louise Martin |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1000 E Main St, Medford, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326660341 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149.022207 (Illinois) | Secondary |
1041C0700X | Social Worker - Clinical | L13048 (Oregon) | Primary |
Entity Name | Rogue Community Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073511721 PECOS PAC ID: 1557266236 Enrollment ID: O20040226000885 |
Mailing Address | Practice Location Address |
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Danielle Louise Martin, LCSW 1000 E Main St, Medford, OR 97504-7667 Ph: (541) 773-3863 | Danielle Louise Martin, LCSW 1000 E Main St, Medford, OR 97504-7667 Ph: (541) 773-3863 |
Beverly Kay Riley, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1698 E Mcandrews Rd Ste 300, Medford, OR 97504 Phone: 541-732-7950 | |
Leslie Ramage, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 122 E Main St Ste 400-68, Medford, OR 97501 Phone: 503-551-7713 | |
Ms. Susan Ann Waterman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 107 E Main St, Suite 7, Medford, OR 97501 Phone: 541-772-2791 Fax: 541-772-2791 | |
Elise Travertini, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3617 S Pacific Hwy, Medford, OR 97501 Phone: 541-535-6239 Fax: 541-535-4377 | |
Mr. William M Camp, LSCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 300 W Main St, Medford, OR 97501 Phone: 541-772-1777 Fax: 541-734-2410 | |
Ms. Mary Adrienne Fansler, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1237 N Riverside Ave, Suite 229, Medford, OR 97501 Phone: 541-779-8850 Fax: 541-858-5441 | |
Mr. Seth Andrew Rodriguez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2825 E Barnett Rd, Medford, OR 97504 Phone: 541-789-7138 |