| Mr Christopher Daniel Forward, LICSW | |
|
720 14th Ave, Longview, WA 98632-2315 | |
| (360) 423-0203 | |
| (360) 577-0187 |
| Full Name | Mr Christopher Daniel Forward |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 12 Years |
| Location | 720 14th Ave, Longview, 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 |
|---|---|---|---|
| 1861756033 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LW60728388 (Washington) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Peacehealth | 5890689293 | 181 |
| Entity Name | Peacehealth |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720056187 PECOS PAC ID: 5890689293 Enrollment ID: O20040209000272 |
| Entity Name | Sokyahealth Medical Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447842232 PECOS PAC ID: 9739575648 Enrollment ID: O20220706000817 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Christopher Daniel Forward, LICSW Po Box 1847, Longview, WA 98632-8140 Ph: (360) 423-0203 | Mr Christopher Daniel Forward, LICSW 720 14th Ave, Longview, WA 98632-2315 Ph: (360) 423-0203 |
Mrs. Carolyn Julia O'day, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1230 7th Ave, Longview, WA 98632 Phone: 360-636-6235 Fax: 360-575-4805 | |
Norine A Meyer, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 600 Broadway, Longview, WA 98632 Phone: 360-414-2132 Fax: 360-414-2024 | |
Julia Jacobs, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1338 Commerce Ave, Longview, WA 98632 Phone: 360-795-5955 | |
Kristen Mendez, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1157 3rd Ave Ste 100, Longview, WA 98632 Phone: 360-751-1112 Fax: 360-577-8879 | |
Fran J Smith, MSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 945 11th Ave, Suite B, Longview, WA 98632 Phone: 360-414-8600 Fax: 360-636-7372 | |
Joanne E Kooistra, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 600 Broadway St, Longview, WA 98632 Phone: 360-414-2236 Fax: 360-414-2788 | |
Sheryl A Kiel, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1230 7th Ave, Longview, WA 98632 Phone: 360-636-2400 |