| Michelle Dague, LCSW, QMHP | |
|
777 Ne 7th St Ste 208, Grants Pass, OR 97526-1632 | |
| (503) 884-3946 | |
| (503) 200-1302 |
| Full Name | Michelle Dague |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 777 Ne 7th St Ste 208, Grants Pass, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740428853 | NPI | - | NPPES |
| 500800774 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | L5319 (Oregon) | Primary |
| Entity Name | Michelle Dague Lcsw Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053991257 PECOS PAC ID: 8123427960 Enrollment ID: O20210526003368 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Dague, LCSW, QMHP Po Box 445, Murphy, OR 97533-0445 Ph: (503) 884-3946 | Michelle Dague, LCSW, QMHP 777 Ne 7th St Ste 208, Grants Pass, OR 97526-1632 Ph: (503) 884-3946 |
Mr. Scott E. Willi, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1181 Ramsey Ave, Grants Pass, OR 97527 Phone: 541-476-2373 Fax: 541-476-1526 | |
Stephen Raleigh I, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1181 Sw Ramsey Ave, Grants Pass, OR 97527 Phone: 541-476-2373 | |
Suellen Mitzner Willi, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2576 New Hope Rd, Grants Pass, OR 97527 Phone: 541-479-1544 | |
Mr. Robert Lewis Morse, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1181 Ramsey Ave, Grants Pass, OR 97527 Phone: 541-476-2373 Fax: 541-476-1526 | |
Jason Matthew Brown, B.A. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 715 Sw Ramsey Ave, Grants Pass, OR 97527 Phone: 541-956-5463 | |
Elizabeth Anne Mabry, CSWI Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1701 Nw Hawthorne Ave, Grants Pass, OR 97526 Phone: 541-471-3455 | |
Pamela Mccorkle, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 217 Ne C St, Grants Pass, OR 97526 Phone: 541-630-0079 |