| Jamie Rose Dickenson, LCSW | |
|
2011 4th St, La Grande, OR 97850-2511 | |
| (541) 963-4139 | |
| (541) 429-6612 |
| Full Name | Jamie Rose Dickenson |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 2011 4th St, La Grande, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578322251 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | L5083 (Oregon) | Primary |
| Entity Name | Wallowa County Health Care District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447256250 PECOS PAC ID: 4183537566 Enrollment ID: O20031120000556 |
| Mailing Address | Practice Location Address |
|---|---|
| Jamie Rose Dickenson, LCSW Po Box 1517, Pendleton, OR 97801-0410 Ph: (877) 708-1119 | Jamie Rose Dickenson, LCSW 2011 4th St, La Grande, OR 97850-2511 Ph: (541) 963-4139 |
Rebecca Soupir, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1612 5th St, La Grande, OR 97850 Phone: 541-975-4488 | |
Teresa Lorraine Smith-dixon, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2502 Cove Ave Ste A, La Grande, OR 97850 Phone: 541-963-2273 Fax: 541-963-1872 | |
Lara Welford, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1712 Walnut St, La Grande, OR 97850 Phone: 541-200-0826 | |
Michelle Sprouffske, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1705 Z Ave, La Grande, OR 97850 Phone: 541-799-0107 | |
Mrs. Mary A Goldstein, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1501 6th St Ste C, La Grande, OR 97850 Phone: 541-963-6715 Fax: 541-962-7440 | |
Heidi Ann Beck, LMSW, CADCII Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1100 K Ave, La Grande, OR 97850 Phone: 541-962-8849 Fax: 541-963-5272 | |
Mrs. Patrice M Barreto, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1606 6th St, La Grande, OR 97850 Phone: 541-963-7289 Fax: 541-962-7289 |