| Mrs Amy Sarah Mild, LCSW | |
|
1151 N Adair St, Cornelius, OR 97113-8900 | |
| (503) 359-5564 | |
| (503) 357-4371 |
| Full Name | Mrs Amy Sarah Mild |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 23 Years |
| Location | 1151 N Adair St, Cornelius, 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 |
|---|---|---|---|
| 1982736872 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | L6225 (Oregon) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Legacy Good Samaritan Hospital And Medical Center | 0547179939 | 152 |
| Entity Name | Legacy Clinics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902827272 PECOS PAC ID: 0244144004 Enrollment ID: O20031117000089 |
| Entity Name | Legacy Good Samaritan Hospital And Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780608216 PECOS PAC ID: 0547179939 Enrollment ID: O20031125000416 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Amy Sarah Mild, LCSW Po Box 568, Cornelius, OR 97113-0568 Ph: (503) 352-8657 | Mrs Amy Sarah Mild, LCSW 1151 N Adair St, Cornelius, OR 97113-8900 Ph: (503) 359-5564 |
Caroline Jennifer Nazareth, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 851 N 25th Ter, Cornelius, OR 97113 Phone: 971-998-3768 | |
Hannah Katherine Mccann, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1151 N Adair St, Cornelius, OR 97113 Phone: 503-359-5564 Fax: 503-357-4371 | |
Lexy Madeline Kliewer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1151 N Adair St, Cornelius, OR 97113 Phone: 503-359-5564 Fax: 503-359-8532 |