| Reclaim Life, Llc | |
|
425 2nd Ave Sw Ste 102 Albany OR 97321-2483 | |
| (541) 286-3209 | |
| (541) 704-0040 |
| Full Name | Reclaim Life, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 425 2nd Ave Sw Ste 102, Albany, Oregon |
| Authorized Official Name and Position | Deidre Lafferty (OWNER, THERAPIST) |
| Authorized Official Contact | 5412863209 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Reclaim Life, Llc 425 2nd Ave Sw Ste 102 Albany OR 97321-2483 Ph: (541) 286-3209 | Reclaim Life, Llc 425 2nd Ave Sw Ste 102 Albany OR 97321-2483 Ph: (541) 286-3209 |
| NPI Number | 1043788896 |
|---|---|
| Provider Enumeration Date | 11/09/2018 |
| Last Update Date | 04/12/2020 |
| Certification Date | 04/12/2020 |
| Medicare PECOS PAC ID | 7416293493 |
|---|---|
| Medicare Enrollment ID | O20190618003620 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043788896 | NPI | - | NPPES |
| 500763687 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Deidre A Lafferty |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386099398 PECOS PAC ID: 9335430255 Enrollment ID: I20160624000248 |
| Provider Name | Mick Fredrickson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104180520 PECOS PAC ID: 7113210758 Enrollment ID: I20160720000891 |
| Provider Name | Annamarie H Mattox |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366836579 PECOS PAC ID: 3476948803 Enrollment ID: I20220321002134 |
| Provider Name | Allison Dreshfield |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780135699 PECOS PAC ID: 5092166942 Enrollment ID: I20240104004579 |
Samaritan Mental Health- Albany Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1052 29th Avenue Sw, Albany, OR 97321 Phone: 541-812-5060 Fax: 541-926-7234 | |
New Hope Counseling Of Albany Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1273 Nw West Thornton Lake Dr Nw, Albany, OR 97321 Phone: 541-760-2197 | |
Dynamic Self Recovery Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1010 11th Ave Sw, Albany, OR 97321 Phone: 541-829-1199 Fax: 833-770-4969 | |
County Of Linn Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 4th Ave Sw, Albany, OR 97321 Phone: 541-967-3819 Fax: 541-967-7259 | |
Recovery First Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 506 Ferry St Sw, Albany, OR 97321 Phone: 541-204-1818 | |
Mosaic Psychological, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 425 2nd Ave Sw Ste 204, Albany, OR 97321 Phone: 541-248-9153 |