Johnna Rae Wacholtz, | |
1124 W Riverside Ave Ste Ll2, Spokane, WA 99201-1132 | |
(509) 994-4518 | |
Not Available |
Full Name | Johnna Rae Wacholtz |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1124 W Riverside Ave Ste Ll2, 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 |
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1861150245 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | SC61230425 (Washington) | Primary |
Entity Name | Megan Rene Carter |
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Entity Type | Practitioner - Clinical Social Worker |
Entity Identifiers | NPI Number: 1144463381 PECOS PAC ID: 9739569310 Enrollment ID: I20220629003108 |
Mailing Address | Practice Location Address |
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Johnna Rae Wacholtz, 1124 W Riverside Ave # Ll2, Spokane, WA 99201-1132 Ph: (509) 994-4518 | Johnna Rae Wacholtz, 1124 W Riverside Ave Ste Ll2, Spokane, WA 99201-1132 Ph: (509) 994-4518 |
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: Medicare Enrolled 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 | |
Dustin Haywood, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 522 W Riverside Ave Ste N, Spokane, WA 99201 Phone: 509-262-5774 | |
Mayra Lizeth Pelayo, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 22 S Thor St, Spokane, WA 99202 Phone: 509-532-2000 | |
Angela Lee, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 400 S Jefferson St, Spokane, WA 99204 Phone: 509-768-6852 | |
Karin Noelle Summerall, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 210 W Sprague Ave, Spokane, WA 99201 Phone: 509-747-8224 Fax: 509-747-0609 |