| Monica Gabaldon, Lcsw, Llc | |
|
368 S 6th St Independence OR 97351-1704 | |
| (503) 851-5223 | |
| Not Available |
| Full Name | Monica Gabaldon, Lcsw, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 368 S 6th St, Independence, Oregon |
| Authorized Official Name and Position | Monica Gabaldon (OWNER) |
| Authorized Official Contact | 5038515223 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Monica Gabaldon, Lcsw, Llc 368 S 6th St Independence OR 97351-1704 Ph: (503) 851-5223 | Monica Gabaldon, Lcsw, Llc 368 S 6th St Independence OR 97351-1704 Ph: (503) 851-5223 |
| NPI Number | 1215637418 |
|---|---|
| Provider Enumeration Date | 03/06/2023 |
| Last Update Date | 03/20/2023 |
| Certification Date | 03/20/2023 |
| Medicare PECOS PAC ID | 6507222700 |
|---|---|
| Medicare Enrollment ID | O20230512002267 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215637418 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Monica Clara Gabaldon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194108886 PECOS PAC ID: 0446590152 Enrollment ID: I20190315001595 |
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