Laura Martina Eastwick, LICSW, LCSW | |
720 14th Ave, Longview, WA 98632-2315 | |
(360) 423-0203 | |
(360) 577-0269 |
Full Name | Laura Martina Eastwick |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 720 14th Ave, Longview, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871960864 | NPI | - | NPPES |
2140834 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | L11328 (Oregon) | Secondary |
1041C0700X | Social Worker - Clinical | LW61307595 (Washington) | Primary |
Entity Name | Columbia Wellness |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487659579 PECOS PAC ID: 2567358286 Enrollment ID: O20040227000406 |
Mailing Address | Practice Location Address |
---|---|
Laura Martina Eastwick, LICSW, LCSW 1010 Harris St, Kelso, WA 98626-4512 Ph: (617) 510-0025 | Laura Martina Eastwick, LICSW, LCSW 720 14th Ave, Longview, WA 98632-2315 Ph: (360) 423-0203 |
Mrs. Carolyn Julia O'day, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1230 7th Ave, Longview, WA 98632 Phone: 360-636-6235 Fax: 360-575-4805 | |
Norine A Meyer, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 600 Broadway, Longview, WA 98632 Phone: 360-414-2132 Fax: 360-414-2024 | |
Julia Jacobs, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1338 Commerce Ave, Longview, WA 98632 Phone: 360-795-5955 | |
Kristen Mendez, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1157 3rd Ave Ste 100, Longview, WA 98632 Phone: 360-751-1112 Fax: 360-577-8879 | |
Fran J Smith, MSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 945 11th Ave, Suite B, Longview, WA 98632 Phone: 360-414-8600 Fax: 360-636-7372 | |
Joanne E Kooistra, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 600 Broadway St, Longview, WA 98632 Phone: 360-414-2236 Fax: 360-414-2788 | |
Sheryl A Kiel, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1230 7th Ave, Longview, WA 98632 Phone: 360-636-2400 |