Mckayla Forsberg, | |
603 Medical Pkwy, Enterprise, OR 97828-5124 | |
(509) 575-4084 | |
Not Available |
Full Name | Mckayla Forsberg |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 7 Years |
Location | 603 Medical Pkwy, Enterprise, Oregon |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770094708 | NPI | - | NPPES |
LW61246792 | Other | WA | WASHINGTON LICENSED CLINICAL SOCIAL WORKER LICENSE |
L10677 | Other | OR | OREGON LICENSED CLINICAL SOCIAL WORKER LICENSE |
500770369 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Winding Waters Medical Clinic | 8224346713 | 19 |
Entity Name | Winding Waters Medical Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922475219 PECOS PAC ID: 8224346713 Enrollment ID: O20160113000362 |
Mailing Address | Practice Location Address |
---|---|
Mckayla Forsberg, 603 Medical Pkwy, Enterprise, OR 97828-5124 Ph: (541) 426-4502 | Mckayla Forsberg, 603 Medical Pkwy, Enterprise, OR 97828-5124 Ph: (509) 575-4084 |
Jamie Rose Dickenson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 603 Medical Pkwy, Enterprise, OR 97828 Phone: 208-870-9489 | |
Stephanie Williams, MSW,LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 207 Sw 1st St, Enterprise, OR 97828 Phone: 541-426-4524 Fax: 541-426-3035 | |
Judith A. Wandschneider, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 207 Sw 1st St, Enterprise, OR 97828 Phone: 541-426-4524 Fax: 541-426-3035 |