| Breanna Lavaune Carbury, MSW | |
|
124 E Short Ave, Spokane, WA 99202-1555 | |
| (509) 838-4651 | |
| Not Available |
| Full Name | Breanna Lavaune Carbury |
|---|---|
| Gender | Female |
| Speciality | Social Worker |
| Location | 124 E Short Ave, Spokane, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356855811 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SC60807406 (Washington) | Secondary |
| 104100000X | Social Worker | SC60807406 (Washington) | Primary |
| Entity Name | Frontier Behavioral Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861495327 PECOS PAC ID: 5092603340 Enrollment ID: O20040308001191 |
| Mailing Address | Practice Location Address |
|---|---|
| Breanna Lavaune Carbury, MSW 107 S Division St, Spokane, WA 99202-1510 Ph: (509) 838-4651 | Breanna Lavaune Carbury, MSW 124 E Short Ave, Spokane, WA 99202-1555 Ph: (509) 838-4651 |
Dan L Sigler, LAICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1328 W Gardner Ave, Spokane, WA 99201 Phone: 509-325-5232 | |
Mr. Benjamin Paul Menard, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9505 N Division St Ste 210, Spokane, WA 99218 Phone: 509-850-0512 | |
Ms. Jaime Lee Vosbein, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 221 N Wall St Ste 202, Spokane, WA 99201 Phone: 537-527-3202 | |
Dustin Haywood, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 522 W Riverside Ave Ste N, Spokane, WA 99201 Phone: 509-262-5774 | |
Austin Nicholas Mamont, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 522 W Riverside Ave # 8522, Spokane, WA 99201 Phone: 206-451-7284 | |
Alondra Isabel Morando, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 731 N Iron Bridge Way, Spokane, WA 99202 Phone: 509-444-8888 | |
Heydon Hensley, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1844 E South Riverton Ave Apt D203, Spokane, WA 99207 Phone: 509-795-0408 |