| Michael Gwanjaye, LW61575358 | |
|
14623 Main St Apt B203, Mill Creek, WA 98012-2013 | |
| (425) 948-7248 | |
| Not Available |
| Full Name | Michael Gwanjaye |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 4 Years |
| Location | 14623 Main St Apt B203, Mill Creek, 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 |
|---|---|---|---|
| 1013649698 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LW61575358 (Washington) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Western Psychological And Counseling Services Llc | 7719975085 | 331 |
| Mindful Therapy Group Pc | 4981872561 | 654 |
| Entity Name | Western Psychological and Counseling Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629345731 PECOS PAC ID: 7719975085 Enrollment ID: O20110224000559 |
| 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 |
|---|---|
| Michael Gwanjaye, LW61575358 14623 Main St Apt B203, Mill Creek, WA 98012-2013 Ph: (259) 487-2484 | Michael Gwanjaye, LW61575358 14623 Main St Apt B203, Mill Creek, WA 98012-2013 Ph: (425) 948-7248 |
Stephen Joseph Clark, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 17414 Bothell Way Se, Mill Creek, WA 98012 Phone: 425-775-5955 Fax: 425-481-8367 |
Ms. Katherine Elizabeth Gilyeat, BCBA, LBA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2209 139th Pl Se, Mill Creek, WA 98012 Phone: 425-248-5222 |
Ms. Nancy Lynn Gagliano, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 16000 Bothell Everett Hwy, Suite 360, Mill Creek, WA 98012 Phone: 206-218-3016 |
Aisha Khan Qadri, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1401 141st Ct Se, Mill Creek, WA 98012 Phone: 425-492-4940 |
Mr. Charles Owen Bartlett Iv, MSW LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 16000 Bothell Everett Hwy, 360, Mill Creek, WA 98012 Phone: 425-357-9111 |
Megan Ann Hall, MSW, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 16504 9th Ave Se Ste 106, Mill Creek, WA 98012 Phone: 425-510-0168 Fax: 425-491-4609 |
Amy Husted, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 15418 Main St, Mill Creek, WA 98012 Phone: 425-225-8000 |