| Hayley Knowlton, LCSW | |
|
702 Sunset Dr, Ontario, OR 97914-3121 | |
| (541) 889-9167 | |
| (541) 889-7873 |
| Full Name | Hayley Knowlton |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 702 Sunset Dr, Ontario, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730563966 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCSW37693 (Idaho) | Primary |
| Entity Name | Thrive Counseling Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215181300 PECOS PAC ID: 0749458420 Enrollment ID: O20171025002417 |
| Mailing Address | Practice Location Address |
|---|---|
| Hayley Knowlton, LCSW 8100 W Emerald St Ste 150, Boise, ID 83704-9057 Ph: (089) 086-3992 | Hayley Knowlton, LCSW 702 Sunset Dr, Ontario, OR 97914-3121 Ph: (541) 889-9167 |
Genelle Jo Mackey, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 685 N Oregon St, Ontario, OR 97914 Phone: 541-889-2219 | |
Mrs. Janae Maughan Stroops, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1219 Sw 4th Ave, Ontario, OR 97914 Phone: 208-741-3336 | |
Timothy L Koberlein, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 702 Sunset Dr, Ontario, OR 97914 Phone: 541-889-9167 Fax: 541-889-7873 | |
Sarah Andrade, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 702 Sunset Dr, Ontario, OR 97914 Phone: 541-889-9167 Fax: 541-889-7873 | |
J. Harrison Whitcomb, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 702 Sunset Dr, Ontario, OR 97914 Phone: 541-889-9167 | |
Ron Vanausdal, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 702 Sunset Dr, Ontario, OR 97914 Phone: 541-889-9167 Fax: 541-889-7873 | |
Ms. Janette Lynn Pennington, CSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1219 Sw 4th Ave, Ontario, OR 97914 Phone: 541-889-2668 |