Michael David Nomina, MSW,LCSW | |
11740 Sw 68th Pkwy Ste 200, Portland, OR 97223-9058 | |
(425) 640-7009 | |
Not Available |
Full Name | Michael David Nomina |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 11740 Sw 68th Pkwy Ste 200, Portland, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912911058 | NPI | - | NPPES |
L2579 | Other | OR | OREGON BOARD OF LICENSED SOCIAL WORKERS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | L2579 (Oregon) | 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: O20210301001586 |
Mailing Address | Practice Location Address |
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Michael David Nomina, MSW,LCSW Po Box 820128, Portland, OR 97282-1128 Ph: (503) 816-8550 | Michael David Nomina, MSW,LCSW 11740 Sw 68th Pkwy Ste 200, Portland, OR 97223-9058 Ph: (425) 640-7009 |
Ms. Claudette Hastie Beahrs, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3318 Ne Hancock St, Portland, OR 97212 Phone: 503-249-7215 Fax: 503-335-3444 | |
Ms. Sonya Carmen Strickland, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1110 Se Alder St Ste 301, Portland, OR 97214 Phone: 503-709-6101 | |
Mr. Del R Thornton, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1020 Sw Taylor, #345, Portland, OR 97205 Phone: 503-449-3238 | |
Mrs. Yvette Denine Arey, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3710 Sw Veterans Hospital Road, Bldg 104 Primary Care Clinic, Portland, OR 97207 Phone: 503-220-8262 Fax: 503-273-5210 | |
Mr. Paul Patrick Lee, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12 Se 14th Ave, Portland, OR 97214 Phone: 503-235-3433 Fax: 503-235-4762 | |
Mrs. Nalini Kuruppu, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2233 N Holman St, Portland, OR 97217 Phone: 503-753-9157 | |
Jeni Lynne Shilman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2701 Nw Vaughn St, Portland, OR 97210 Phone: 503-499-5200 |