| Harri-ann Donna Ellis, | |
|
729 Devoe St. Se., Olympia, WA 98501 | |
| (360) 259-5966 | |
| (360) 956-1170 |
| Full Name | Harri-ann Donna Ellis |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 729 Devoe St. Se., Olympia, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215569348 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LW60603454 (Washington) | Primary |
| Entity Name | The Center For Family & Lifespan Development |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508153859 PECOS PAC ID: 7214367069 Enrollment ID: O20200420001772 |
| Entity Name | The Center For Psychological Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144694001 PECOS PAC ID: 4789008913 Enrollment ID: O20200721003754 |
| Mailing Address | Practice Location Address |
|---|---|
| Harri-ann Donna Ellis, 2110 Golf Club Rd Se, Lacey, WA 98503-7061 Ph: (360) 259-5966 | Harri-ann Donna Ellis, 729 Devoe St. Se., Olympia, WA 98501 Ph: (360) 259-5966 |
Lauren Mallory, LICSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 3435 Martin Way E Ste H-1, Olympia, WA 98506 Phone: 360-480-5388 | |
Dylan Jennings Shearer, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 908 5th Ave Se, Olympia, WA 98501 Phone: 360-316-6777 | |
Amory E.w. Ballantine, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 413 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-491-9480 Fax: 360-456-2413 | |
Kristen Smulovitz, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 711 State Ave Ne, Olympia, WA 98506 Phone: 360-943-0780 | |
Amy Fossett Syen, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 500 Columbia St Nw Ste 102, Olympia, WA 98501 Phone: 859-421-1164 | |
Sharon E Boyle-connelly, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 700 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-923-7000 | |
Ms. Patricia A Tucker, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1211 4th Ave E Ste 200, Olympia, WA 98506 Phone: 360-570-1161 Fax: 360-786-1089 |