Mr Lucas Christopher King, MSW, LCSW | |
2526 Nw Tyler Ave, Corvallis, OR 97330-5409 | |
(541) 250-2761 | |
Not Available |
Full Name | Mr Lucas Christopher King |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 2526 Nw Tyler Ave, Corvallis, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467105577 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | L4425 (Oregon) | Primary |
Entity Name | Vickie M Larson-hills Msw Lcsw Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730784067 PECOS PAC ID: 2961880562 Enrollment ID: O20220610001170 |
Mailing Address | Practice Location Address |
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Mr Lucas Christopher King, MSW, LCSW 2526 Nw Tyler Ave, Corvallis, OR 97330-5409 Ph: (541) 250-2761 | Mr Lucas Christopher King, MSW, LCSW 2526 Nw Tyler Ave, Corvallis, OR 97330-5409 Ph: (541) 250-2761 |
Fahlene Lockwood, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2075 Nw Grant Ave, Corvallis, OR 97330 Phone: 541-368-3152 Fax: 855-279-0612 | |
Alison Roffman, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3512 Se Bayou Pl, Corvallis, OR 97333 Phone: 541-908-1320 | |
Patty J Koker, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 530 Nw 27th St, Corvallis, OR 97330 Phone: 541-766-6835 | |
Laila Josephine Ayyoub, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3085 Nw Deer Run St, Corvallis, OR 97330 Phone: 541-760-0777 | |
Tanya Lee Katz, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4185 Sw Research Way Ste 110, Corvallis, OR 97333 Phone: 541-257-5500 | |
Mr. Alan Andrew Schrader, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3680 Nw Samaritan Dr, Corvallis, OR 97330 Phone: 541-766-2195 | |
Nicole Applebaum, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 114 Sw 8th St, Corvallis, OR 97333 Phone: 541-974-8873 |