Ms Nicole Amity Sharp, MSW | |
1520 Kelley Pl Fl 2, Walla Walla, WA 99362-8654 | |
(509) 524-2920 | |
Not Available |
Full Name | Ms Nicole Amity Sharp |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1520 Kelley Pl Fl 2, Walla Walla, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982902649 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LW60173123 (Washington) | Primary |
1041C0700X | Social Worker - Clinical | CG60114272 (Washington) | Secondary |
Entity Name | Privia Medical Group Washington Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780658419 PECOS PAC ID: 2264320837 Enrollment ID: O20040309000126 |
Mailing Address | Practice Location Address |
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Ms Nicole Amity Sharp, MSW Po Box 1595, 1520 Kelly Place 2nd Floor, Walla Walla, WA 99362-0329 Ph: (509) 524-2920 | Ms Nicole Amity Sharp, MSW 1520 Kelley Pl Fl 2, Walla Walla, WA 99362-8654 Ph: (509) 524-2920 |
Steven Gilbert Dalgleish, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1151 Hobson St, Walla Walla, WA 99362 Phone: 509-386-4807 | |
Mrs. Laura Grace Reiber, LICSW ACSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2330 Eastgate St Ste 207, Walla Walla, WA 99362 Phone: 509-876-4009 Fax: 509-946-1430 | |
Rodney John Opsal, A.C.S.W., L.I.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 77 Wainwright Dr, Walla Walla, WA 99362 Phone: 509-525-5200 Fax: 509-527-6113 | |
Dawn Irene Avery, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 77 Wainwright Dr, Walla Walla, WA 99362 Phone: 509-525-5200 | |
Ms. Teresa Wiedemann, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 139 Russet Rd, Walla Walla, WA 99362 Phone: 509-520-4370 | |
Laura Marie Dixson, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 77 Wainwright Dr Bldg 135, Walla Walla, WA 99362 Phone: 509-525-5200 | |
Mrs. Erica Swingholm Mireles, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 401 W Main St Ste 101, Walla Walla, WA 99362 Phone: 509-301-2720 |