| Leeandria N Witcraft, CSWA | |
|
46314 Timine Way, Pendleton, OR 97801 | |
| (541) 966-9830 | |
| (541) 240-8410 |
| Full Name | Leeandria N Witcraft |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 8 Years |
| Location | 46314 Timine Way, Pendleton, Oregon |
| 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 |
|---|---|---|---|
| 1053884791 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | A4891 (Oregon) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Coquille Indian Tribe | 6002805330 | 14 |
| Coquille Indian Tribe | 6002805330 | 14 |
| Entity Name | Coquille Indian Tribe |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376592287 PECOS PAC ID: 6002805330 Enrollment ID: O20210805000460 |
| Mailing Address | Practice Location Address |
|---|---|
| Leeandria N Witcraft, CSWA 46314 Timine Way, Pendleton, OR 97801 Ph: (541) 966-9830 | Leeandria N Witcraft, CSWA 46314 Timine Way, Pendleton, OR 97801 Ph: (541) 966-9830 |
Lynne Lindberg, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 200 Se Hailey Ave, Pendleton, OR 97801 Phone: 541-429-8844 Fax: 541-429-8822 | |
Miss Shilo Caramay Smith, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 331 Se 2nd St, Pendleton, OR 97801 Phone: 541-276-6207 | |
Gloria Turner, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 331 Se 2nd St, Pendleton, OR 97801 Phone: 541-276-6207 | |
Nathan T Smith, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 826 Se 10th St, Pendleton, OR 97801 Phone: 765-354-8410 | |
Mr. Courtney Michael Brennan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 331 Se 2nd St, Pendleton, OR 97801 Phone: 541-276-6207 Fax: 541-276-4628 | |
Ms. Sue Ann Imhoff, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 331 Se 2nd St, Pendleton, OR 97801 Phone: 541-276-6207 |