Mrs Carolyn Mae Moore, LCSW | |
1600 S Main St, Lebanon, OR 97355-3109 | |
(541) 451-5932 | |
Not Available |
Full Name | Mrs Carolyn Mae Moore |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 24 Years |
Location | 1600 S Main St, Lebanon, 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 |
---|---|---|---|
1720068182 | NPI | - | NPPES |
500612327 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | L4204 (Oregon) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
County Of Linn | 7911984638 | 16 |
Entity Name | County Of Linn |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760575781 PECOS PAC ID: 7911984638 Enrollment ID: O20040701000264 |
Mailing Address | Practice Location Address |
---|---|
Mrs Carolyn Mae Moore, LCSW Po Box 100, Albany, OR 97321-0031 Ph: (541) 451-5932 | Mrs Carolyn Mae Moore, LCSW 1600 S Main St, Lebanon, OR 97355-3109 Ph: (541) 451-5932 |
Melissa Wilson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1600 S Main St, Lebanon, OR 97355 Phone: 541-451-5932 | |
Lavanya Kancherla, MSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1600 S Main St, Lebanon, OR 97355 Phone: 541-451-5932 | |
Marieta W Westermeyer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 55 Twin Oaks Ave Ste A1, Lebanon, OR 97355 Phone: 541-451-6920 Fax: 541-451-6924 | |
Heather Diane Balzomo, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 675 N 5th St, Lebanon, OR 97355 Phone: 541-451-6282 Fax: 541-812-2038 | |
Mrs. Anita Louise Schlitzkus, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 37490 Tennessee School Dr, Lebanon, OR 97355 Phone: 541-259-5019 Fax: 541-259-5022 | |
Kenneth Mackie, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1600 S Main St, Lebanon, OR 97355 Phone: 541-451-5932 | |
Mr. Sean Phillip Becker, LCSW, CCTP Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 777 E Milton St, Lebanon, OR 97355 Phone: 925-451-3309 |