Olivia Estelle Ponce, MSW, CADC II is a
Social Worker - Clinical based in Suquamish, Washington. Olivia Estelle Ponce is licensed to practice in Oregon (license number ) and her current practice location is
18490 Suquamish Way Ne Unit 107, Suquamish, Washington. She can be reached at her office (for appointments etc.) via phone at
(360) 394-8558.
NPI number for Olivia Estelle Ponce is 1952844615 and her current mailing address is 1998 State Hwy 308, Po Box 174, Ne Keyport, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1952844615.
Healthcare Provider's Profile
| Full Name | Olivia Estelle Ponce |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 18490 Suquamish Way Ne Unit 107, Suquamish, Washington |
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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: 1952844615
- Provider Enumeration Date: 11/29/2016
- Last Update Date: 08/03/2022
Medical Identifiers
Medical identifiers for Olivia Estelle Ponce such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1952844615 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 22-02-20139 (Oregon) | Secondary |
| 1041C0700X | Social Worker - Clinical | (Oregon) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 16-08-26 (Oregon) | Secondary |
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. Olivia Estelle Ponce 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 |
|---|
Olivia Estelle Ponce, MSW, CADC II
1998 State Hwy 308, Po Box 174,
Ne Keyport, WA 98345-9997
Ph: (541) 228-2852 | Olivia Estelle Ponce, MSW, CADC II
18490 Suquamish Way Ne Unit 107,
Suquamish, WA 98392-9533
Ph: (360) 394-8558 |
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