Nathanial Odell Render, LICSW | |
21907 64th Ave W Ste 200, Mountlake Terrace, WA 98043-6200 | |
(425) 640-7009 | |
Not Available |
Full Name | Nathanial Odell Render |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 21907 64th Ave W Ste 200, Mountlake Terrace, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548508708 | NPI | - | NPPES |
NONE | Other | NONE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LW60284806 (Washington) | Primary |
Entity Name | Mindful Therapy Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316238678 PECOS PAC ID: 4981872561 Enrollment ID: O20110726000730 |
Mailing Address | Practice Location Address |
---|---|
Nathanial Odell Render, LICSW 4801 Veterans Dr, Saint Cloud, MN 56303-2015 Ph: (320) 252-1670 | Nathanial Odell Render, LICSW 21907 64th Ave W Ste 200, Mountlake Terrace, WA 98043-6200 Ph: (425) 640-7009 |
Ms. Anne Seagle Carpenter, LCMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6920 220th St Sw, Ste. 106, Mountlake Terrace, WA 98043 Phone: 425-640-9777 Fax: 425-640-5122 | |
Paulette M Caswell, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 21907 64th Ave W Ste 200, Mountlake Terrace, WA 98043 Phone: 425-640-7009 | |
Jonathan Montoya, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6003 St Albion Way Apt H207, Mountlake Terrace, WA 98043 Phone: 505-440-9146 | |
Courtney Miller, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5803 232nd St Sw, Mountlake Terrace, WA 98043 Phone: 425-835-2831 | |
Lucy L Bosche, MSW, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 21907 64th Ave W Ste 200, Mountlake Terrace, WA 98043 Phone: 425-640-7009 | |
Brittani James, LSWAIC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6505 216th St Sw Ste 100, Mountlake Terrace, WA 98043 Phone: 201-748-9470 | |
Ellen Hoa Ngo, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 21208 48th Ave W Apt B, Mountlake Terrace, WA 98043 Phone: 206-779-8819 |