| Elizabeth Eizondo Mitchell, | |
|
12701 Ne 7th Pl, Vancouver, WA 98684-0821 | |
| (206) 334-2725 | |
| Not Available |
| Full Name | Elizabeth Eizondo Mitchell |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 12701 Ne 7th Pl, Vancouver, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710638002 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 60164849 (Washington) | Primary |
| 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: O20110726000730 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Eizondo Mitchell, 12701 Ne 7th Pl, Vancouver, WA 98684-0821 Ph: (206) 334-2725 | Elizabeth Eizondo Mitchell, 12701 Ne 7th Pl, Vancouver, WA 98684-0821 Ph: (206) 334-2725 |
Rachel Krokus, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1601 E Fourth Plain Blvd, V3satp, Vancouver, WA 98661 Phone: 503-220-8262 | |
Stephanie Bieber, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15515 Ne 41st St, Vancouver, WA 98682 Phone: 360-609-1328 | |
Gayle Dukart-hardy, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2700 Ne Andresen Rd, Suite D-9, Vancouver, WA 98661 Phone: 360-694-8558 | |
Mr. Joseph Melvin Klemz, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1498 Se Tech Center Pl Ste 300, Vancouver, WA 98683 Phone: 360-619-2226 Fax: 360-326-9691 | |
Brody Tucker, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12607 Se Mill Plain Blvd, Vancouver, WA 98684 Phone: 360-558-2456 | |
Angela Giacalone, LSWAIC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 905 Ne 68th St # B3, Vancouver, WA 98665 Phone: 360-209-2169 | |
Hannah Joslin, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 13505 Ne 10th Ave, Vancouver, WA 98685 Phone: 303-433-9664 |