| Danielle Maronick, LICSW | |
|
220 W Bong St Ste 153, Fairchild Air Force Base, WA 99011-9465 | |
| (509) 247-4029 | |
| Not Available |
| Full Name | Danielle Maronick |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 220 W Bong St Ste 153, Fairchild Air Force Base, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831445857 | NPI | - | NPPES |
| 00009607 | Other | WA | LICENSED INDEPENDENT CLINICAL SOCIAL WORKER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 00009607 (Washington) | Primary |
| Entity Name | Bmsc Az Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497201875 PECOS PAC ID: 4385929173 Enrollment ID: O20201030002119 |
| Mailing Address | Practice Location Address |
|---|---|
| Danielle Maronick, LICSW 2602 W Parkway Dr, Spokane, WA 99208-6395 Ph: (509) 954-3356 | Danielle Maronick, LICSW 220 W Bong St Ste 153, Fairchild Air Force Base, WA 99011-9465 Ph: (509) 247-4029 |
Holly Meginniss, MSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 701 Hospital Loop Ste 321, Fairchild Air Force Base, WA 99011 Phone: 509-247-2361 | |
Paula Michelle Clark, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 701 Hospital Loop, Fairchild Air Force Base, WA 99011 Phone: 509-247-2731 |