| Magdalene Kidd Vasconez, | |
|
58646 Mcnulty Way, Saint Helens, OR 97051-6210 | |
| (912) 755-0906 | |
| Not Available |
| Full Name | Magdalene Kidd Vasconez |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 20 Years |
| Location | 58646 Mcnulty Way, Saint Helens, 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 |
|---|---|---|---|
| 1265035158 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSW007219 (Georgia) | Primary |
| 1041C0700X | Social Worker - Clinical | L15511 (Oregon) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Columbia Community Mental Health | 5395731392 | 9 |
| Mailing Address | Practice Location Address |
|---|---|
| Magdalene Kidd Vasconez, 58646 Mcnulty Way, Saint Helens, OR 97051-6210 Ph: () - | Magdalene Kidd Vasconez, 58646 Mcnulty Way, Saint Helens, OR 97051-6210 Ph: (912) 755-0906 |
Todd A Jacobson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 58646 Mcnulty Way, Saint Helens, OR 97051 Phone: 503-397-5211 Fax: 503-397-5373 | |
Mr. Richard Mark Braucher, MSW, QMHP, CADCI Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 58646 Mcnulty Way, Saint Helens, OR 97051 Phone: 503-397-5211 | |
Ms. Jeanne Marie May, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 58646 Mcnulty Way, Saint Helens, OR 97051 Phone: 503-397-5211 | |
Scott Hines, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 58646 Mcnulty Way, Saint Helens, OR 97051 Phone: 503-397-5211 Fax: 503-397-5373 | |
Joann Dohn, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 58898 Parkwood Dr, Saint Helens, OR 97051 Phone: 503-433-6362 | |
Mr. Raymond Macdonald, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 58646 Mcnulty Way, Saint Helens, OR 97051 Phone: 503-397-5211 |