Wayne Allen Roberto Smith, LICSW | |
7809 Ne Vancouver Plaza Dr Ste 110, Vancouver, WA 98662-6639 | |
(360) 882-2778 | |
Not Available |
Full Name | Wayne Allen Roberto Smith |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 7809 Ne Vancouver Plaza Dr Ste 110, Vancouver, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346797461 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | L10599 (Oregon) | Secondary |
1041C0700X | Social Worker - Clinical | LW61066377 (Washington) | Primary |
Entity Name | The Vancouver Clinic Inc Ps |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992759427 PECOS PAC ID: 3173436490 Enrollment ID: O20031111000793 |
Entity Name | Kaiser Foundation Health Plan Of Washington |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396810701 PECOS PAC ID: 9032022579 Enrollment ID: O20031112000454 |
Entity Name | Kaiser Foundation Health Plan Of The Northwest |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040220000099 |
Mailing Address | Practice Location Address |
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Wayne Allen Roberto Smith, LICSW 2220 Se 192nd Ave Apt C102, Vancouver, WA 98683-1404 Ph: (360) 904-2541 | Wayne Allen Roberto Smith, LICSW 7809 Ne Vancouver Plaza Dr Ste 110, Vancouver, WA 98662-6639 Ph: (360) 882-2778 |
Rachel Krokus, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1601 E Fourth Plain Blvd, V3satp, Vancouver, WA 98661 Phone: 503-220-8262 | |
Stephanie Bieber, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15515 Ne 41st St, Vancouver, WA 98682 Phone: 360-609-1328 | |
Gayle Dukart-hardy, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2700 Ne Andresen Rd, Suite D-9, Vancouver, WA 98661 Phone: 360-694-8558 | |
Mr. Joseph Melvin Klemz, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1498 Se Tech Center Pl, Suite 385, Vancouver, WA 98683 Phone: 360-619-2226 | |
Brody Tucker, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 12607 Se Mill Plain Blvd, Vancouver, WA 98684 Phone: 360-558-2456 | |
Angela Giacalone, LSWAIC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 905 Ne 68th St # B3, Vancouver, WA 98665 Phone: 360-209-2169 | |
Hannah Joslin, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 13505 Ne 10th Ave, Vancouver, WA 98685 Phone: 303-433-9664 |