Ms Tina Wibstad, LCSW, LSSW, CADC III is a
Social Worker - Clinical based in Tillamook, Oregon. Ms Tina Wibstad is licensed to practice in Oregon (license number L5975) and her current practice location is
906 Main Ave, Tillamook, Oregon. She can be reached at her office (for appointments etc.) via phone at
(503) 842-8201.
NPI number for Ms Tina Wibstad is 1518275130 and her current mailing address is 906 Main Ave, Tillamook, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1518275130.
Healthcare Provider's Profile
| Full Name | Ms Tina Wibstad |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 906 Main Ave, Tillamook, Oregon |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1518275130
- Provider Enumeration Date: 09/16/2010
- Last Update Date: 04/04/2019
Medical Identifiers
Medical identifiers for Ms Tina Wibstad such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1518275130 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 12-06-70 (Oregon) | Secondary |
| 1041S0200X | Social Worker - School | 10517192 (Oregon) | Secondary |
| 1041C0700X | Social Worker - Clinical | L5975 (Oregon) | 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. Ms Tina Wibstad 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 |
|---|
Ms Tina Wibstad, LCSW, LSSW, CADC III
906 Main Ave,
Tillamook, OR 97141-3816
Ph: () - | Ms Tina Wibstad, LCSW, LSSW, CADC III
906 Main Ave,
Tillamook, OR 97141-3816
Ph: (503) 842-8201 |
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