Dustin Haywood, LICSW | |
522 W Riverside Ave Ste N, Spokane, WA 99201-0580 | |
(509) 262-5774 | |
Not Available |
Full Name | Dustin Haywood |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 522 W Riverside Ave Ste N, Spokane, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013434240 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LW61466609 (Washington) | Primary |
Entity Name | Ingenuity - Therapeutic Services Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619717436 PECOS PAC ID: 5395284723 Enrollment ID: O20240828004961 |
Mailing Address | Practice Location Address |
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Dustin Haywood, LICSW 522 W Riverside Ave Ste N, Spokane, WA 99201-0580 Ph: (509) 262-5774 | Dustin Haywood, LICSW 522 W Riverside Ave Ste N, Spokane, WA 99201-0580 Ph: (509) 262-5774 |
Dan L Sigler, LAICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1328 W Gardner Ave, Spokane, WA 99201 Phone: 509-325-5232 | |
Mr. Benjamin Paul Menard, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9505 N Division St Ste 210, Spokane, WA 99218 Phone: 509-850-0512 | |
Ms. Jaime Lee Vosbein, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 221 N Wall St Ste 202, Spokane, WA 99201 Phone: 537-527-3202 | |
Austin Nicholas Mamont, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 522 W Riverside Ave # 8522, Spokane, WA 99201 Phone: 206-451-7284 | |
Heydon Hensley, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1844 E South Riverton Ave Apt D203, Spokane, WA 99207 Phone: 509-795-0408 | |
Mayra Lizeth Pelayo, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 22 S Thor St, Spokane, WA 99202 Phone: 509-532-2000 |