| Vickie M Larson-hills Msw Lcsw Llc | |
|
340 1st Ave Se Albany OR 97321-2738 | |
| (360) 356-2508 | |
| Not Available |
| Full Name | Vickie M Larson-hills Msw Lcsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 340 1st Ave Se, Albany, Oregon |
| Authorized Official Name and Position | Vickie Marie Larson-hills (OWNER/THERAPIST) |
| Authorized Official Contact | 3603562508 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vickie M Larson-hills Msw Lcsw Llc 510 Ne Aspen St Sublimity OR 97385-9106 Ph: (503) 509-6223 | Vickie M Larson-hills Msw Lcsw Llc 340 1st Ave Se Albany OR 97321-2738 Ph: (360) 356-2508 |
| NPI Number | 1730784067 |
|---|---|
| Provider Enumeration Date | 12/03/2020 |
| Last Update Date | 05/10/2021 |
| Certification Date | 05/10/2021 |
| Medicare PECOS PAC ID | 2961880562 |
|---|---|
| Medicare Enrollment ID | O20220610001170 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730784067 | NPI | - | NPPES |
| 500717536 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Vickie Marie Larson-hills |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821548728 PECOS PAC ID: 3870971476 Enrollment ID: I20220610001226 |
| Provider Name | Lucas Christopher King |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467105577 PECOS PAC ID: 0547622458 Enrollment ID: I20230809001982 |
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