| Katrina Herzog, MSW, LICSW | |
|
100 N Howard St Ste W, Spokane, WA 99201-0508 | |
| (562) 286-2072 | |
| Not Available |
| Full Name | Katrina Herzog |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 7 Years |
| Location | 100 N Howard St Ste W, Spokane, 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 |
|---|---|---|---|
| 1124604764 | NPI | - | NPPES |
| SC61040620 | Medicaid | WA | |
| LW61466078 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LW61466078 (Washington) | Primary |
| 1041C0700X | Social Worker - Clinical | SC61040620 (Washington) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Seattle Roots Community Health | 8628966173 | 52 |
| Entity Name | Sound |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780774950 PECOS PAC ID: 1759282197 Enrollment ID: O20040119000053 |
| Entity Name | Seattle Roots Community Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972623189 PECOS PAC ID: 8628966173 Enrollment ID: O20040308000484 |
| Mailing Address | Practice Location Address |
|---|---|
| Katrina Herzog, MSW, LICSW 6727 Martin Luther King Jr Way S Ste M, Seattle, WA 98118-3205 Ph: (562) 286-2072 | Katrina Herzog, MSW, LICSW 100 N Howard St Ste W, Spokane, WA 99201-0508 Ph: (562) 286-2072 |
Dan L Sigler, LAICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1328 W Gardner Ave, Spokane, WA 99201 Phone: 509-325-5232 | |
Mr. Benjamin Paul Menard, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9505 N Division St Ste 210, Spokane, WA 99218 Phone: 509-850-0512 | |
Gwendolyn Silver, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 100 N Howard St Ste 4173, Spokane, WA 99201 Phone: 425-780-6404 | |
Ms. Jaime Lee Vosbein, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 221 N Wall St Ste 202, Spokane, WA 99201 Phone: 537-527-3202 | |
Dustin Haywood, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 522 W Riverside Ave Ste N, Spokane, WA 99201 Phone: 509-262-5774 | |
Arissa Linda Ann Paul, BASW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 2102 E Sprague Ave, Spokane, WA 99202 Phone: 509-838-4651 | |
Gabriella Evangeline Gruen, MSW, LSWAIC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10015 N Division St Ste 103, Spokane, WA 99218 Phone: 509-508-1162 Fax: 509-862-4719 |