| Lena Lorraine Boyle, LICSW | |
|
208 S Main St, Omak, WA 98841-9755 | |
| (509) 429-9521 | |
| Not Available |
| Full Name | Lena Lorraine Boyle |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 208 S Main St, Omak, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194132829 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SC60856218 (Washington) | Primary |
| Entity Name | Mindful Therapy Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316238678 PECOS PAC ID: 4981872561 Enrollment ID: O20110726000730 |
| Mailing Address | Practice Location Address |
|---|---|
| Lena Lorraine Boyle, LICSW 208 S Main St, Omak, WA 98841-9755 Ph: (509) 429-9521 | Lena Lorraine Boyle, LICSW 208 S Main St, Omak, WA 98841-9755 Ph: (509) 429-9521 |
Kathryn Powers, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1007 Koala Dr, Omak, WA 98841 Phone: 509-826-6191 | |
Janice Bauer, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1007 Koala Ave, Omak, WA 98841 Phone: 509-826-6191 | |
Ms. Stacie Michelle Howard, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1007 Koala Dr, Omak, WA 98841 Phone: 509-826-8409 Fax: 509-826-3029 | |
Barbara J Wallace, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1007 Koala Dr., Omak, WA 98841 Phone: 509-826-6191 Fax: 509-826-8416 | |
Maureen Erin Collins, LICSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1007 Koala Dr, Omak, WA 98841 Phone: 509-826-6191 | |
Ms. Tessa Jolene Orozco, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1007 Koala Dr, Omak, WA 98841 Phone: 509-826-3029 |