Aunastasia Fantasia Marie Zsidiewicz, LICSWA, AAC, CADC I is a
Social Worker - Clinical based in Warrenton, Oregon. Aunastasia Fantasia Marie Zsidiewicz is licensed to practice in Washington (license number SC61098820) and her current practice location is
65 N Highway 101 Ste 204, Warrenton, Oregon. She can be reached at her office (for appointments etc.) via phone at
(503) 325-0241.
NPI number for Aunastasia Fantasia Marie Zsidiewicz is 1689142085 and her current mailing address is 65 N Highway 101 Ste 204, Warrenton, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1689142085.
Healthcare Provider's Profile
Full Name | Aunastasia Fantasia Marie Zsidiewicz |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 65 N Highway 101 Ste 204, Warrenton, Oregon |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1689142085
- Provider Enumeration Date: 11/05/2018
- Last Update Date: 11/05/2020
Medical Identifiers
Medical identifiers for Aunastasia Fantasia Marie Zsidiewicz such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1689142085 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | SC61098820 (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Aunastasia Fantasia Marie Zsidiewicz is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Aunastasia Fantasia Marie Zsidiewicz, LICSWA, AAC, CADC I 65 N Highway 101 Ste 204, Warrenton, OR 97146-9371 Ph: (503) 325-0241 | Aunastasia Fantasia Marie Zsidiewicz, LICSWA, AAC, CADC I 65 N Highway 101 Ste 204, Warrenton, OR 97146-9371 Ph: (503) 325-0241 |
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