| Mr Jason Wilcox, LCSW | |
|
1414 Nw Valley View Dr # 107, Roseburg, OR 97471-1760 | |
| (541) 900-8244 | |
| Not Available |
| Full Name | Mr Jason Wilcox |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 1414 Nw Valley View Dr # 107, Roseburg, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225280753 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | L13627 (Oregon) | Primary |
| Entity Name | Rogue Psych Consultants Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447727110 PECOS PAC ID: 1850632415 Enrollment ID: O20190408002460 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jason Wilcox, LCSW 1414 Nw Valley View Dr # 107, Roseburg, OR 97471-1760 Ph: (541) 900-8244 | Mr Jason Wilcox, LCSW 1414 Nw Valley View Dr # 107, Roseburg, OR 97471-1760 Ph: (541) 900-8244 |
Mrs. Janelle Elise Peterson, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 913 Nw Garden Valley Blvd, Roseburg, OR 97471 Phone: 541-440-1000 Fax: 541-440-1356 | |
Mitchell John Chmelik, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 913 Nw Garden Valley Blvd, Roseburg, OR 97471 Phone: 541-440-1000 | |
Lawrence David Elkins, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2700 Nw Stewart Pkwy, Roseburg, OR 97471 Phone: 541-464-4456 Fax: 541-440-3554 | |
Kacie Huson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 545 W Umpqua St, Roseburg, OR 97471 Phone: 541-900-1506 Fax: 541-900-1507 | |
Melony A Coleman, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 621 W Madrone St, Roseburg, OR 97470 Phone: 541-440-3532 | |
Mr. Winslow Neel Azpeitia, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 621 W Madrone St, Roseburg, OR 97470 Phone: 541-440-3532 | |
Rosemary M Unterseher, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 621 W Madrone St, Roseburg, OR 97470 Phone: 541-440-3673 Fax: 541-440-3508 |