Lena Lorraine Boyle, LICSWA | |
208 S Main St, Omak, WA 98841-9755 | |
(509) 429-9521 | |
Not Available |
Full Name | Lena Lorraine Boyle |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 208 S Main St, Omak, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194132829 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | SC60856218 (Washington) | Primary |
Entity Name | Mindful Therapy Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316238678 PECOS PAC ID: 4981872561 Enrollment ID: O20110726000730 |
Mailing Address | Practice Location Address |
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Lena Lorraine Boyle, LICSWA Po Box 502, Omak, WA 98841-0502 Ph: (509) 216-5815 | Lena Lorraine Boyle, LICSWA 208 S Main St, Omak, WA 98841-9755 Ph: (509) 429-9521 |
Kathryn Powers, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1007 Koala Dr, Omak, WA 98841 Phone: 509-826-6191 | |
Janice Bauer, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1007 Koala Ave, Omak, WA 98841 Phone: 509-826-6191 | |
Ms. Stacie Michelle Howard, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1007 Koala Dr, Omak, WA 98841 Phone: 509-826-8409 Fax: 509-826-3029 | |
Barbara J Wallace, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1007 Koala Dr., Omak, WA 98841 Phone: 509-826-6191 Fax: 509-826-8416 | |
Ms. Tessa Jolene Orozco, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1007 Koala Dr, Omak, WA 98841 Phone: 509-826-3029 | |
Mr. Jason James Neely, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 529 Jasmine St, Omak, WA 98841 Phone: 509-826-1600 |