Mr Dakota Micheal Lake, CSWA in Salem, OR

Mr Dakota Micheal Lake, CSWA is a Social Worker - Clinical based in Salem, Oregon. Mr Dakota Micheal Lake is licensed to practice in Oregon (license number A13188) and his current practice location is 2355 State St Ste 101, Salem, Oregon. He can be reached at his office (for appointments etc.) via phone at (971) 415-5755.

NPI number for Mr Dakota Micheal Lake is 1407628845 and his current mailing address is 5881 N Montana Ave Apt 303, Portland, Oregon. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1407628845.

Contact Information

	Mr Dakota Micheal Lake, CSWA
	2355 State St Ste 101, Salem, OR 97301-4541
	(971) 415-5755
	(971) 415-5855

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Dakota Micheal Lake
Gender	Male
Speciality	Social Worker - Clinical
Location	2355 State St Ste 101, Salem, Oregon
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1407628845
Provider Enumeration Date: 10/30/2023
Last Update Date: 10/30/2023

Medical Identifiers

Medical identifiers for Mr Dakota Micheal Lake such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407628845	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	A13188 (Oregon)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Dakota Micheal Lake is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Dakota Micheal Lake, CSWA 5881 N Montana Ave Apt 303, Portland, OR 97217-4681 Ph: (616) 821-6584	Mr Dakota Micheal Lake, CSWA 2355 State St Ste 101, Salem, OR 97301-4541 Ph: (971) 415-5755

Reviews and Comments

Social Worker in Salem, OR

Mr. Jes Dimas, LCSW, LICSW, LSSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 494 State St Ste 270, Salem, OR 97301 Phone: 503-583-2121 Fax: 855-855-4872
John B Milnes, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1645 Liberty St Se, Salem, OR 97302 Phone: 503-585-5328 Fax: 503-588-5327
Mr. Mark Alan Mckinney, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1698 Liberty St Se, Salem, OR 97302 Phone: 503-363-5435
Rachel Seibert, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Northwest Registered Agent Llc #513290-93, 2355 State St, Ste 101, Salem, OR 97301 Phone: 503-388-4196
Keith Nelson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 150 Kingwood Ave Nw, Salem, OR 97304 Phone: 503-588-5816 Fax: 503-588-5803
Kathie L Yelliott, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5125 Skyline Rd S, Salem, OR 97306 Phone: 503-588-5955
Ms. Kathleen Marie Baptiste-mckinney, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1698 Liberty St Se, Salem, OR 97302 Phone: 503-363-5435 Fax: 503-364-7272

Mr Dakota Micheal Lake, CSWA - Clinical Social Worker in Salem, OR