| Erin Martinache Licsw, Llc | |
|
2146 W Railroad Ave Shelton WA 98584-7126 | |
| (360) 463-5015 | |
| Not Available |
| Full Name | Erin Martinache Licsw, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2146 W Railroad Ave, Shelton, Washington |
| Authorized Official Name and Position | Erin Martinache (OWNER) |
| Authorized Official Contact | 3604857541 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Erin Martinache Licsw, Llc 2146 W Railroad Ave # 4 Shelton WA 98584-7126 Ph: () - | Erin Martinache Licsw, Llc 2146 W Railroad Ave Shelton WA 98584-7126 Ph: (360) 463-5015 |
| NPI Number | 1225749401 |
|---|---|
| Provider Enumeration Date | 12/08/2022 |
| Last Update Date | 12/08/2022 |
| Certification Date | 12/08/2022 |
| Medicare PECOS PAC ID | 3072985332 |
|---|---|
| Medicare Enrollment ID | O20230214002544 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225749401 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Erin Martinache |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003212770 PECOS PAC ID: 0042513145 Enrollment ID: I20160125000074 |
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