Richard Brandt-kreutz, LCSW | |
525 Lilly Rd Ne, Pmg Sw Wa St Peter Fam Med, Olympia, WA 98506-5101 | |
(360) 493-7230 | |
Not Available |
Full Name | Richard Brandt-kreutz |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 33 Years |
Location | 525 Lilly Rd Ne, Olympia, Washington |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164504742 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCS17846 (California) | Secondary |
104100000X | Social Worker | LW00009736 (Washington) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Providence Health And Services Washington | 6709782600 | 387 |
Entity Name | Providence Health & Services Washington |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174744304 PECOS PAC ID: 6709782600 Enrollment ID: O20031211000028 |
Mailing Address | Practice Location Address |
---|---|
Richard Brandt-kreutz, LCSW Po Box 3360, Portland, OR 97208-3360 Ph: (866) 747-2455 | Richard Brandt-kreutz, LCSW 525 Lilly Rd Ne, Pmg Sw Wa St Peter Fam Med, Olympia, WA 98506-5101 Ph: (360) 493-7230 |
Lauren Mallory, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3435 Martin Way E Ste H-1, Olympia, WA 98506 Phone: 360-480-5388 | |
Dylan Jennings Shearer, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 908 5th Ave Se, Olympia, WA 98501 Phone: 360-316-6777 | |
Sharon E Boyle-connelly, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 700 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-923-7000 | |
Ms. Patricia A Tucker, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1211 4th Ave E Ste 200, Olympia, WA 98506 Phone: 360-570-1161 Fax: 360-786-1089 | |
Toni Principe, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2222 State Ave Ne # A, Olympia, WA 98506 Phone: 360-259-7179 Fax: 360-878-8953 | |
Crystal Elizabeth Garcia, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4932 Siskiyou Loop Se, Olympia, WA 98501 Phone: 360-790-8602 Fax: 360-925-3037 | |
Staci Ann Coleman, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2000 Lakeridge Dr Sw, Bldg 3, Olympia, WA 98502 Phone: 360-867-2034 Fax: 360-867-2036 |