Mr David Mann Nixon, LCSW, DMHP | |
2690 Ne Kresky Ave, Chehalis, WA 98532 | |
(360) 330-9595 | |
(360) 330-9560 |
Full Name | Mr David Mann Nixon |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 2690 Ne Kresky Ave, Chehalis, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154863116 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 60492662 (Washington) | Primary |
Entity Name | Lewis County Community Health Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134164692 PECOS PAC ID: 6002803749 Enrollment ID: O20040426001899 |
Mailing Address | Practice Location Address |
---|---|
Mr David Mann Nixon, LCSW, DMHP 3285 Ferguson St Sw, Tumwater, WA 98512-6192 Ph: (360) 943-1907 | Mr David Mann Nixon, LCSW, DMHP 2690 Ne Kresky Ave, Chehalis, WA 98532 Ph: (360) 330-9595 |
Jami Larson, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 931 S Market Blvd, Chehalis, WA 98532 Phone: 360-767-6300 Fax: 360-767-6320 | |
Mrs. Erica M Dennehy, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 931 S Market Blvd, Chehalis, WA 98532 Phone: 360-767-6300 | |
Jyella Deloney, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2690 Ne Kresky Ave, Chehalis, WA 98532 Phone: 360-330-9595 Fax: 360-330-7865 |