Ms Lisa Marie Jennings, MSW,QMHP, CSWA, CADC | |
11 Sw Brantley Dr, Winston, OR 97496-4526 | |
(541) 679-0366 | |
(541) 679-4821 |
Full Name | Ms Lisa Marie Jennings |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 8 Years |
Location | 11 Sw Brantley Dr, Winston, Oregon |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881052876 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 15-02-24 (Oregon) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Second Wind Mental Health Clinic | 2769792183 | 3 |
Entity Name | Second Wind Mental Health Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679957708 PECOS PAC ID: 2769792183 Enrollment ID: O20151113001380 |
Mailing Address | Practice Location Address |
---|---|
Ms Lisa Marie Jennings, MSW,QMHP, CSWA, CADC 11 Sw Brantley Dr, Winston, OR 97496-4526 Ph: (541) 679-0366 | Ms Lisa Marie Jennings, MSW,QMHP, CSWA, CADC 11 Sw Brantley Dr, Winston, OR 97496-4526 Ph: (541) 679-0366 |
Mr. Michael Wayne Smith- Fernandez, LCSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 11 Sw Brantley Dr, Winston, OR 97496 Phone: 541-679-0366 Fax: 541-679-4821 | |
Mrs. Heather Amie Jameson, M.S., LMHC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 481 Serengeti Dr, Winston, OR 97496 Phone: 805-535-0484 | |
Ann Carey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11 Sw Brantley Dr, Winston, OR 97496 Phone: 541-679-0366 Fax: 541-679-4821 | |
Ronald Bustamante, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11 Sw Brantley Dr, Winston, OR 97496 Phone: 541-679-0366 Fax: 541-679-4821 | |
Deborah Ann Dhillon, LCSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 671 Sw Main St, Winston, OR 97496 Phone: 541-672-2691 Fax: 833-299-8415 |