| Mrs Mary A Goldstein, LCSW | |
|
1501 6th St Ste C, La Grande, OR 97850-2419 | |
| (541) 963-6715 | |
| (541) 962-7440 |
| Full Name | Mrs Mary A Goldstein |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 35 Years |
| Location | 1501 6th St Ste C, La Grande, 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 |
|---|---|---|---|
| 1407866213 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | L2874 (Oregon) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Winding Waters Medical Clinic | 8224346713 | 16 |
| Entity Name | Winding Waters Medical Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922475219 PECOS PAC ID: 8224346713 Enrollment ID: O20160113000362 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Mary A Goldstein, LCSW Po Box 1005, La Grande, OR 97850-1005 Ph: (541) 962-0162 | Mrs Mary A Goldstein, LCSW 1501 6th St Ste C, La Grande, OR 97850-2419 Ph: (541) 963-6715 |
Rebecca Soupir, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1612 5th St, La Grande, OR 97850 Phone: 541-975-4488 | |
Teresa Lorraine Smith-dixon, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2502 Cove Ave Ste A, La Grande, OR 97850 Phone: 541-963-2273 Fax: 541-963-1872 | |
Lara Welford, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1712 Walnut St, La Grande, OR 97850 Phone: 541-200-0826 | |
Michelle Sprouffske, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1705 Z Ave, La Grande, OR 97850 Phone: 541-799-0107 | |
Heidi Ann Beck, LMSW, CADCII Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1100 K Ave, La Grande, OR 97850 Phone: 541-962-8849 Fax: 541-963-5272 | |
Mrs. Patrice M Barreto, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1606 6th St, La Grande, OR 97850 Phone: 541-963-7289 Fax: 541-962-7289 |