Kgs Lcsw | |
1983 Tamarack Pl Ashland OR 97520-3542 | |
(541) 821-2596 | |
(541) 488-7897 |
Full Name | Kgs Lcsw |
---|---|
Speciality | Social Worker |
Location | 1983 Tamarack Pl, Ashland, Oregon |
Authorized Official Name and Position | Kristina G Schweikert (SOLE MEMBER) |
Authorized Official Contact | 5418212596 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Kgs Lcsw Po Box 1426 Talent OR 97540-1426 Ph: (541) 821-2596 | Kgs Lcsw 1983 Tamarack Pl Ashland OR 97520-3542 Ph: (541) 821-2596 |
NPI Number | 1366974347 |
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Provider Enumeration Date | 03/30/2017 |
Last Update Date | 08/27/2024 |
Certification Date | 08/27/2024 |
Medicare PECOS PAC ID | 5799061636 |
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Medicare Enrollment ID | O20170407001973 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366974347 | NPI | - | NPPES |
500689907 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Kristina G Schweikert |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1154605228 PECOS PAC ID: 4789989435 Enrollment ID: I20160218000561 |
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