| Ellen Marie Standefer, LICSW, LCSW | |
|
2621 Ne 134th St, Ste 340, Vancouver, WA 98686-3036 | |
| (360) 450-0140 | |
| (877) 343-0535 |
| Full Name | Ellen Marie Standefer |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 16 Years |
| Location | 2621 Ne 134th St, Vancouver, Washington |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679008163 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LW60748476 (Washington) | Primary |
| 1041C0700X | Social Worker - Clinical | L7044 (Oregon) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Legacy Salmon Creek Medical Center | Vancouver, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Legacy Salmon Creek Hospital | 0446295711 | 253 |
| Entity Name | Legacy Salmon Creek Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356357784 PECOS PAC ID: 0446295711 Enrollment ID: O20051223000194 |
| Mailing Address | Practice Location Address |
|---|---|
| Ellen Marie Standefer, LICSW, LCSW 2621 Ne 134th St, Ste 340, Vancouver, WA 98686-3036 Ph: (360) 450-0140 | Ellen Marie Standefer, LICSW, LCSW 2621 Ne 134th St, Ste 340, Vancouver, WA 98686-3036 Ph: (360) 450-0140 |
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: 750 Officers Row, Vancouver, WA 98661 Phone: 971-220-5882 | |
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: May Accept Medicare Assignments Practice Location: 13505 Ne 10th Ave, Vancouver, WA 98685 Phone: 303-433-9664 |