| Deborah Ingram, | |
|
2428 W Reynolds Ave, Centralia, WA 98531-4554 | |
| (360) 330-9044 | |
| Not Available |
| Full Name | Deborah Ingram |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 2428 W Reynolds Ave, Centralia, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700354099 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Entity Name | Cascade Community Healthcare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619068624 PECOS PAC ID: 5496641177 Enrollment ID: O20040227000824 |
| Mailing Address | Practice Location Address |
|---|---|
| Deborah Ingram, 9904 Donovan Ct Se, Yelm, WA 98597-9684 Ph: () - | Deborah Ingram, 2428 W Reynolds Ave, Centralia, WA 98531-4554 Ph: (360) 330-9044 |
Mrs. Lexa Jenalle Donnelly, M.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2428 W Reynolds Ave, Centralia, WA 98531 Phone: 360-330-9044 | |
Jerald Rodman, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2565 Kristine Ct, Centralia, WA 98531 Phone: 509-956-9286 | |
Mr. Sean Blackwell, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2428 W Reynolds Ave, Centralia, WA 98531 Phone: 360-330-9044 | |
Mrs. Katrina Ilene Meier, LICSAW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 625 S Diamond St, Centralia, WA 98531 Phone: 360-736-5460 Fax: 360-736-1093 | |
Ms. Valery Blythe Byrd, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1133 Kresky Ave Ste 107, Centralia, WA 98531 Phone: 360-399-2003 Fax: 360-219-1562 | |
Ms. Lynette M Sexton, MSW, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 625 S Diamond St, Centralia, WA 98531 Phone: 360-918-3009 | |
Leslie Ann Fulp, LICSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 713 Ham Hill Rd, Centralia, WA 98531 Phone: 828-775-3939 |