Merridy R Dickey, LICSW | |
55 W Tietan St, Walla Walla, WA 99362-4498 | |
(509) 525-5010 | |
Not Available |
Full Name | Merridy R Dickey |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 55 W Tietan St, Walla Walla, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629342357 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
101YM0800X | Counselor - Mental Health | LW60954668 (Washington) | Primary |
Entity Name | Privia Medical Group Washington Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780658419 PECOS PAC ID: 2264320837 Enrollment ID: O20040309000126 |
Mailing Address | Practice Location Address |
---|---|
Merridy R Dickey, LICSW 1723 Home Ave, Walla Walla, WA 99362-9058 Ph: (509) 540-6362 | Merridy R Dickey, LICSW 55 W Tietan St, Walla Walla, WA 99362-4498 Ph: (509) 525-5010 |
Mr. Jedadiah Eslinger, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 127 E Rose St, Walla Walla, WA 99362 Phone: 509-540-9621 | |
Liam C Wall, CNA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1313 N 13th Ave, Walla Walla, WA 99362 Phone: 509-525-3610 | |
Mr. David N Silva, MSW, LICSW,BCD,CDP Counselor Medicare: Not Enrolled in Medicare Practice Location: 77 Wainwright Dr, Walla Walla, WA 99362 Phone: 509-525-5200 Fax: 509-527-3481 | |
Parveen Abdul, MED LMHC CDP Counselor Medicare: Medicare Enrolled Practice Location: 1520 Kelly Pl Ste 234, Walla Walla, WA 99362 Phone: 509-575-4084 Fax: 509-524-2920 | |
Rose Amara Pokrifchak, MA, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 19 E Birch St, Ste 101, Walla Walla, WA 99362 Phone: 541-621-1271 | |
Ms. Karan Lea Shultz, MSW Counselor Medicare: Medicare Enrolled Practice Location: 1520 Kelley Pl Fl 2, Walla Walla, WA 99362 Phone: 509-524-2920 | |
Mr. Michael Joseph Brumbach, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1520 Kelley Pl, Walla Walla, WA 99362 Phone: 509-524-2020 |