Darren Michael Nealis, LICSW | |
18313 Paulson St Sw Ste A, Rochester, WA 98579-9262 | |
(360) 827-8400 | |
(360) 273-7301 |
Full Name | Darren Michael Nealis |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 29 Years |
Location | 18313 Paulson St Sw Ste A, Rochester, Washington |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912929258 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LW60065730 (Washington) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Providence Health And Services- Washington | 2365427556 | 5 |
Providence Health And Services Washington | 6709782600 | 393 |
Entity Name | Providence Health & Services Washington |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174744304 PECOS PAC ID: 6709782600 Enrollment ID: O20031211000028 |
Entity Name | Providence Health & Services- Washington |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205931508 PECOS PAC ID: 2365427556 Enrollment ID: O20040622000640 |
Mailing Address | Practice Location Address |
---|---|
Darren Michael Nealis, LICSW Po Box 3360, Portland, OR 97208-3360 Ph: () - | Darren Michael Nealis, LICSW 18313 Paulson St Sw Ste A, Rochester, WA 98579-9262 Ph: (360) 827-8400 |
Terryann Dumyahn, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 11324 School Land Rd Sw, Rochester, WA 98579 Phone: 815-878-1327 | |
Mrs. Carolyn J Price, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 18313 Paulson St Sw Ste A, Pmg Sw Wa Rochester Fam Med, Rochester, WA 98579 Phone: 360-827-8400 Fax: 360-273-7301 |