Jacob R Spanjer, | |
715 W Court St, 2nd Floor, Pasco, WA 99301-4153 | |
(509) 545-6505 | |
Not Available |
Full Name | Jacob R Spanjer |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 715 W Court St, Pasco, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306289905 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LW61468090 (Washington) | Primary |
101YM0800X | Counselor - Mental Health | CG60225687 (Washington) | Secondary |
Entity Name | Lourdes Hospital Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659861060 PECOS PAC ID: 1850642562 Enrollment ID: O20181113000853 |
Mailing Address | Practice Location Address |
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Jacob R Spanjer, Po Box 1452, Pasco, WA 99301-1223 Ph: (509) 547-2204 | Jacob R Spanjer, 715 W Court St, 2nd Floor, Pasco, WA 99301-4153 Ph: (509) 545-6505 |
Lucinda Sanchez, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2715 Saint Andrews Loop Ste D, Pasco, WA 99301 Phone: 509-575-4084 | |
Mrs. Heather Cooper, LICSW, CMHS Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9825 Sandifur Pkwy Ste D, Pasco, WA 99301 Phone: 509-491-0991 | |
Tana Bentley, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2715 Saint Andrews Loop Ste D, Pasco, WA 99301 Phone: 509-575-4084 | |
Jan Michael, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 6304 W Richardson Rd, Pasco, WA 99301 Phone: 509-851-3280 Fax: 509-349-5069 | |
Mr. John Jason Chastain, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9825 Sandifur Pkwy Ste D, Pasco, WA 99301 Phone: 509-531-6698 Fax: 509-402-1176 | |
Jessica Reed, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2715 Saint Andrews Loop Ste D, Pasco, WA 99301 Phone: 509-575-4084 |