Gordon John Retterath Jr, | |
Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-0001 | |
(253) 966-3650 | |
Not Available |
Full Name | Gordon John Retterath Jr |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | Madigan Army Medical Center 9040 Jackson Ave, Tacoma, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790871572 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LW00007863 (Washington) | Primary |
Entity Name | Simply Thrive Psychotherapy Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528472370 PECOS PAC ID: 3072730175 Enrollment ID: O20140813002939 |
Mailing Address | Practice Location Address |
---|---|
Gordon John Retterath Jr, 7719 Rainier Rd Se, Olympia, WA 98513-5419 Ph: (360) 923-1787 | Gordon John Retterath Jr, Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-0001 Ph: (253) 966-3650 |
June Huelskamp, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1102 A St Unit 771, Tacoma, WA 98401 Phone: 513-607-5448 | |
Mrs. Tracey Hunt, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3126 56th Ave Ne, Tacoma, WA 98422 Phone: 253-335-2412 | |
Mr. C Henry Balderrama, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1201 S Proctor St, Tacoma, WA 98405 Phone: 253-396-5263 | |
Miss Jennifer I. Soto, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1432 N Baltimore St, Tacoma, WA 98406 Phone: 206-552-9013 | |
Derrick D'abreau, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9600 Veterans Dr Sw, Tacoma, WA 98493 Phone: 253-583-2825 | |
Brooke Leah O'flaherty, MSW, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1003 S 5th St, Tacoma, WA 98405 Phone: 253-403-2506 | |
Ms. Lorraine Sue Picha, LCSW, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Madigan Army Medical Ctr 9040 Jackson Ave, Tacoma, WA 98431 Phone: 253-968-2755 |