Tammy Freese, LSWAIC | |
605 S Coolidge St, Moses Lake, WA 98837-1873 | |
(509) 764-6111 | |
Not Available |
Full Name | Tammy Freese |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 605 S Coolidge St, Moses Lake, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073058400 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 95929 (California) | Secondary |
1041C0700X | Social Worker - Clinical | SC60925928 (Washington) | Primary |
Entity Name | Moses Lake Community Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699862813 PECOS PAC ID: 1254235138 Enrollment ID: O20031121000667 |
Mailing Address | Practice Location Address |
---|---|
Tammy Freese, LSWAIC 605 S Coolidge St, Moses Lake, WA 98837-1873 Ph: (509) 764-6111 | Tammy Freese, LSWAIC 605 S Coolidge St, Moses Lake, WA 98837-1873 Ph: (509) 764-6111 |
Mr. Brian Craig Osborne, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1032b W Cascade Ave, Moses Lake, WA 98837 Phone: 360-304-9356 | |
Jamie Olson, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 812 Sharon Ave E, Moses Lake, WA 98837 Phone: 509-398-5093 | |
Nicole Prentice, LSWAIC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1021 W Broadway Ave, Moses Lake, WA 98837 Phone: 509-750-0304 |