Ms Charlean Clemons, LCSW | |
965 Liberty Street Se, Poyama Counseling, Salem, OR 97302 | |
(503) 588-2004 | |
(503) 588-2415 |
Full Name | Ms Charlean Clemons |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 33 Years |
Location | 965 Liberty Street Se, Salem, 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 |
---|---|---|---|
1740310457 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | L3994 (Oregon) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Polk Yamhill And Marion Child Treatment Services Inc | 1557357993 | 3 |
Entity Name | Polk Yamhill & Marion Child Treatment Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760685176 PECOS PAC ID: 1557357993 Enrollment ID: O20040422000050 |
Entity Name | Salem Health Professional Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285774257 PECOS PAC ID: 5294094769 Enrollment ID: O20180109003027 |
Mailing Address | Practice Location Address |
---|---|
Ms Charlean Clemons, LCSW 965 Liberty Street Se, Poyama Counseling, Salem, OR 97302 Ph: (503) 588-2004 | Ms Charlean Clemons, LCSW 965 Liberty Street Se, Poyama Counseling, Salem, OR 97302 Ph: (503) 588-2004 |
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 |