| Nathan T Smith, LCSW | |
| 826 Se 10th St, Pendleton, OR 97801-3246 | |
| (765) 354-8410 | |
| Not Available | 
| Full Name | Nathan T Smith | 
|---|---|
| Gender | Male | 
| Speciality | Social Worker - Clinical | 
| Location | 826 Se 10th St, Pendleton, Oregon | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1194349472 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LSW000008234 (Tennessee) | Secondary | 
| 1041C0700X | Social Worker - Clinical | L14318 (Oregon) | Primary | 
| Entity Name | Community Counseling Solutions | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1487992665 PECOS PAC ID: 0446484885 Enrollment ID: O20150825005568 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Nathan T Smith, LCSW 826 Se 10th St, Pendleton, OR 97801-3246 Ph: (765) 354-8410 | Nathan T Smith, LCSW 826 Se 10th St, Pendleton, OR 97801-3246 Ph: (765) 354-8410 | 
| Leeandria N. Witcraft, CSWA Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 46314 Timine Way, Pendleton, OR 97801 Phone: 541-966-9830 Fax: 541-240-8410 | |
| Lynne Lindberg, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 200 Se Hailey Ave, Pendleton, OR 97801 Phone: 541-429-8844 Fax: 541-429-8822 | |
| Miss Shilo Caramay Smith, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 331 Se 2nd St, Pendleton, OR 97801 Phone: 541-276-6207 | |
| Gloria Turner, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 331 Se 2nd St, Pendleton, OR 97801 Phone: 541-276-6207 | |
| Mr. Courtney Michael Brennan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 331 Se 2nd St, Pendleton, OR 97801 Phone: 541-276-6207 Fax: 541-276-4628 | |
| Ms. Sue Ann Imhoff, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 331 Se 2nd St, Pendleton, OR 97801 Phone: 541-276-6207 |