Dominique Lea Corellas, is a
Social Worker - Clinical based in Corvallis, Oregon. Dominique Lea Corellas is licensed to practice in * (Not Available) (license number ) and her current practice location is
2396 Nw Kings Blvd Ste 201, Corvallis, Oregon. She can be reached at her office (for appointments etc.) via phone at
(541) 224-1684.
NPI number for Dominique Lea Corellas is 1942823760 and her current mailing address is 2396 Nw Kings Blvd Ste 201, Corvallis, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1942823760.
Healthcare Provider's Profile
| Full Name | Dominique Lea Corellas |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 2396 Nw Kings Blvd Ste 201, Corvallis, Oregon |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1942823760
- Provider Enumeration Date: 05/27/2020
- Last Update Date: 05/31/2022
Medical Identifiers
Medical identifiers for Dominique Lea Corellas such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942823760 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | 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. Dominique Lea Corellas 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 |
|---|
Dominique Lea Corellas,
2396 Nw Kings Blvd Ste 201,
Corvallis, OR 97330-3984
Ph: (541) 224-1684 | Dominique Lea Corellas,
2396 Nw Kings Blvd Ste 201,
Corvallis, OR 97330-3984
Ph: (541) 224-1684 |
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