Theresa Lynn Brooks, | |
165 E Hawthorne Ave, Colville, WA 99114-2629 | |
(509) 684-4597 | |
(509) 684-5286 |
Full Name | Theresa Lynn Brooks |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 165 E Hawthorne Ave, Colville, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659616258 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LW60146130 (Washington) | Primary |
Entity Name | Stevens County |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891792966 PECOS PAC ID: 2466349394 Enrollment ID: O20040303001200 |
Mailing Address | Practice Location Address |
---|---|
Theresa Lynn Brooks, 165 E Hawthorne Ave, Colville, WA 99114-2629 Ph: (509) 684-4597 | Theresa Lynn Brooks, 165 E Hawthorne Ave, Colville, WA 99114-2629 Ph: (509) 684-4597 |
Sharon Elaine Depaulo, LICSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 150 S Elm St, Colville, WA 99114 Phone: 509-675-1447 Fax: 509-684-3852 | |
Mrs. Joyce R Lingerfelt, ARNP MSW RNC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1200 E Columbia Ave, Colville, WA 99114 Phone: 509-685-7834 Fax: 509-684-5817 | |
Cheryl Swanson Nelson, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1200 E Columbia Ave, Colville, WA 99114 Phone: 509-684-3701 Fax: 509-684-5817 | |
Holly Buche, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 358 N Main St, Colville, WA 99114 Phone: 509-684-1440 | |
Jo Nell Amburgey, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 298 S Main St, Suite L3, Colville, WA 99114 Phone: 509-675-0642 Fax: 509-738-2561 | |
Arlene A. Chandra, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 165 E Hawthorne Ave, Colville, WA 99114 Phone: 509-684-4597 Fax: 509-684-5286 |