| Mrs Susan Lynn Dimock, LCSW | |
|
1212 Alabama St, Suite 27, Bandon, OR 97411 | |
| (541) 347-7090 | |
| Not Available |
| Full Name | Mrs Susan Lynn Dimock |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1212 Alabama St, Bandon, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619098167 | NPI | - | NPPES |
| J015501 | Other | OR | PACIFIC SOURCE ID NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | L3672 (Oregon) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Susan Lynn Dimock, LCSW Po Box 252, Bandon, OR 97411-0252 Ph: (541) 347-7090 | Mrs Susan Lynn Dimock, LCSW 1212 Alabama St, Suite 27, Bandon, OR 97411 Ph: (541) 347-7090 |
Tracy Ann Merriam, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 110 10th St Se, Bandon, OR 97411 Phone: 541-347-5191 Fax: 541-266-4578 | |
Dr. Ivy Christine Wagner, DBH, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 780 2nd St Se Ste 10, Bandon, OR 97411 Phone: 541-329-2144 | |
Mrs. Syd L Wiesel, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 390 1st St Sw, Bandon, OR 97411 Phone: 541-347-1134 Fax: 541-347-1134 |