| Amanda D Terry, LCSW | |
|
2355 State St Ste 101, Salem, OR 97301-4541 | |
| (971) 239-1633 | |
| Not Available |
| Full Name | Amanda D Terry |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 16 Years |
| Location | 2355 State St Ste 101, Salem, Oregon |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285300749 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCSW19752 (Arizona) | Secondary |
| 1041C0700X | Social Worker - Clinical | L12965 (Oregon) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mindful Therapy Group Pc | 4981872561 | 440 |
| Entity Name | Mindful Therapy Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316238678 PECOS PAC ID: 4981872561 Enrollment ID: O20210301001586 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda D Terry, LCSW 2355 State St Ste 101, Salem, OR 97301-4541 Ph: (716) 418-9821 | Amanda D Terry, LCSW 2355 State St Ste 101, Salem, OR 97301-4541 Ph: (971) 239-1633 |
Mr. Jes Dimas, LCSW, LICSW, LSSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 494 State St Ste 270, Salem, OR 97301 Phone: 503-583-2121 Fax: 855-855-4872 | |
John B Milnes, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1645 Liberty St Se, Salem, OR 97302 Phone: 503-585-5328 Fax: 503-588-5327 | |
Mr. Mark Alan Mckinney, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1698 Liberty St Se, Salem, OR 97302 Phone: 503-363-5435 | |
Keith Nelson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 150 Kingwood Ave Nw, Salem, OR 97304 Phone: 503-588-5816 Fax: 503-588-5803 | |
Kathie L Yelliott, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5125 Skyline Rd S, Salem, OR 97306 Phone: 503-588-5955 | |
Ms. Kathleen Marie Baptiste-mckinney, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1698 Liberty St Se, Salem, OR 97302 Phone: 503-363-5435 Fax: 503-364-7272 | |
Ms. Rebecca Lanell Lovelady Williams, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 459 Idylwood Dr Se, Salem, OR 97302 Phone: 541-390-2501 |