| Ms Bethany Wallace, LCSW | |
|
2450 Lancaster Dr Ne, Salem, OR 97305-1130 | |
| (503) 783-4004 | |
| Not Available |
| Full Name | Ms Bethany Wallace |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 2450 Lancaster Dr Ne, Salem, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992987754 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 5807 (Oregon) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Bethany Wallace, LCSW 3624 Commercial St Se Unit 4364, Salem, OR 97302-6712 Ph: (503) 783-4004 | Ms Bethany Wallace, LCSW 2450 Lancaster Dr Ne, Salem, OR 97305-1130 Ph: (503) 783-4004 |
Mr. Jes Dimas, LCSW, LICSW, LSSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 494 State St Ste 270, Salem, OR 97301 Phone: 503-583-2121 Fax: 855-855-4872 | |
John B Milnes, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1645 Liberty St Se, Salem, OR 97302 Phone: 503-585-5328 Fax: 503-588-5327 | |
Mr. Mark Alan Mckinney, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1698 Liberty St Se, Salem, OR 97302 Phone: 503-363-5435 | |
Keith Nelson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 150 Kingwood Ave Nw, Salem, OR 97304 Phone: 503-588-5816 Fax: 503-588-5803 | |
Kathie L Yelliott, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5125 Skyline Rd S, Salem, OR 97306 Phone: 503-588-5955 | |
Ms. Kathleen Marie Baptiste-mckinney, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1698 Liberty St Se, Salem, OR 97302 Phone: 503-363-5435 Fax: 503-364-7272 | |
Ms. Rebecca Lanell Lovelady Williams, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 459 Idylwood Dr Se, Salem, OR 97302 Phone: 541-390-2501 |