| Kendall Todd Carman-wagner, LICSW | |
|
1012 S 3rd St, Dayton, WA 99328-1606 | |
| (509) 382-2531 | |
| Not Available |
| Full Name | Kendall Todd Carman-wagner |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 36 Years |
| Location | 1012 S 3rd St, Dayton, Washington |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962552844 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LW00005301 (Washington) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CP00000091 (Washington) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Columbia County Hospital District | 5597653758 | 44 |
| Entity Name | Columbia County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134128911 PECOS PAC ID: 5597653758 Enrollment ID: O20040309000515 |
| Entity Name | Columbia County Hospital District |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1134128911 PECOS PAC ID: 5597653758 Enrollment ID: O20080207000209 |
| Mailing Address | Practice Location Address |
|---|---|
| Kendall Todd Carman-wagner, LICSW 350 Equestrian Way, Walla Walla, WA 99362-6220 Ph: (509) 529-1496 | Kendall Todd Carman-wagner, LICSW 1012 S 3rd St, Dayton, WA 99328-1606 Ph: (509) 382-2531 |
Ms. Anne D Strode, MSW LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 218 S 4th St, Dayton, WA 99328 Phone: 509-382-2036 Fax: 509-382-2022 | |
Paris Davis, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 221 E Washington Ave, Dayton, WA 99328 Phone: 509-382-1164 Fax: 509-382-1166 | |
Tain J Walker, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 221 E Washington Ave, Dayton, WA 99328 Phone: 509-382-1164 Fax: 509-382-1166 | |
Akua Baah Anokye, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1012 S 3rd St., Dayton, WA 99328 Phone: 509-382-2531 Fax: 509-382-3205 | |
Ms. Sheila Zangar, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 451 Wolf Fork Rd, Dayton, WA 99328 Phone: 509-382-2005 Fax: 509-382-2005 |