Deborah Ingram, | |
2428 W Reynolds Ave, Centralia, WA 98531-4554 | |
(360) 330-9044 | |
Not Available |
Full Name | Deborah Ingram |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 2428 W Reynolds Ave, Centralia, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700354099 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Entity Name | Lewis County Mental Health Association |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619068624 PECOS PAC ID: 5496641177 Enrollment ID: O20040227000824 |
Mailing Address | Practice Location Address |
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Deborah Ingram, 9904 Donovan Ct Se, Yelm, WA 98597-9684 Ph: () - | Deborah Ingram, 2428 W Reynolds Ave, Centralia, WA 98531-4554 Ph: (360) 330-9044 |
Mrs. Lexa Jenalle Donnelly, M.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2428 W Reynolds Ave, Centralia, WA 98531 Phone: 360-330-9044 | |
Jerald Rodman, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2565 Kristine Ct, Centralia, WA 98531 Phone: 509-956-9286 | |
Mr. Sean Blackwell, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2428 W Reynolds Ave, Centralia, WA 98531 Phone: 360-330-9044 | |
Mrs. Katrina Ilene Meier, LICSAW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 625 S Diamond St, Centralia, WA 98531 Phone: 360-736-5460 Fax: 360-736-1093 | |
Ms. Valery Blythe Byrd, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1133 Kresky Ave Ste 107, Centralia, WA 98531 Phone: 360-399-2003 Fax: 360-219-1562 | |
Ms. Lynette M Sexton, MSW, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 625 S Diamond St, Centralia, WA 98531 Phone: 360-918-3009 |