Craig Joseph Deardorff, MSW is a
Social Worker - Clinical based in Spokane, Washington. Craig Joseph Deardorff is licensed to practice in Washington (license number LW61357443) and his current practice location is
124 E Short Ave, Spokane, Washington. He can be reached at his office (for appointments etc.) via phone at
(509) 838-4651.
NPI number for Craig Joseph Deardorff is 1629519616 and his current mailing address is 107 S Division St, Spokane, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1629519616.
Healthcare Provider's Profile
| Full Name | Craig Joseph Deardorff |
|---|
| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 124 E Short Ave, Spokane, Washington |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1629519616
- Provider Enumeration Date: 03/10/2017
- Last Update Date: 02/22/2023
Medical Identifiers
Medical identifiers for Craig Joseph Deardorff such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629519616 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | CG60742843 (Washington) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | CG60742843 (Washington) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | LW61357443 (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. Craig Joseph Deardorff 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 |
|---|
Craig Joseph Deardorff, MSW
107 S Division St,
Spokane, WA 99202-1510
Ph: (509) 838-4651 | Craig Joseph Deardorff, MSW
124 E Short Ave,
Spokane, WA 99202-1555
Ph: (509) 838-4651 |
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