Nathanial Odell Render, LICSW in Mountlake Terrace, WA

Nathanial Odell Render, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Mountlake Terrace, Washington. His current practice location is 21907 64th Ave W Ste 200, Mountlake Terrace, Washington. You can reach out to his office (for appointments etc.) via phone at (425) 640-7009.

Nathanial Odell Render is licensed to practice in Washington (license number LW60284806) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1548508708.

Contact Information

	Nathanial Odell Render, LICSW
	21907 64th Ave W Ste 200, Mountlake Terrace, WA 98043-6200
	(425) 640-7009
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Nathanial Odell Render
Gender	Male
Speciality	Social Worker - Clinical
Location	21907 64th Ave W Ste 200, Mountlake Terrace, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548508708
Provider Enumeration Date: 01/23/2013
Last Update Date: 10/14/2022

Medicare PECOS Information:

PECOS PAC ID: 4486020088
Enrollment ID: I20221024001271

Medical Identifiers

Medical identifiers for Nathanial Odell Render such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548508708	NPI	-	NPPES
NONE	Other		NONE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LW60284806 (Washington)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nathanial Odell Render allows following entities to bill medicare on his behalf.

Entity Name	Mindful Therapy Group, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316238678 PECOS PAC ID: 4981872561 Enrollment ID: O20110726000730

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nathanial Odell Render is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Nathanial Odell Render, LICSW 4801 Veterans Dr, Saint Cloud, MN 56303-2015 Ph: (320) 252-1670	Nathanial Odell Render, LICSW 21907 64th Ave W Ste 200, Mountlake Terrace, WA 98043-6200 Ph: (425) 640-7009

Reviews and Comments

Social Worker in Mountlake Terrace, WA

Ms. Anne Seagle Carpenter, LCMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6920 220th St Sw, Ste. 106, Mountlake Terrace, WA 98043 Phone: 425-640-9777 Fax: 425-640-5122
Paulette M Caswell, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 21907 64th Ave W Ste 200, Mountlake Terrace, WA 98043 Phone: 425-640-7009
Jonathan Montoya, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6003 St Albion Way Apt H207, Mountlake Terrace, WA 98043 Phone: 505-440-9146
Courtney Miller, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5803 232nd St Sw, Mountlake Terrace, WA 98043 Phone: 425-835-2831
Lucy L Bosche, MSW, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 21907 64th Ave W Ste 200, Mountlake Terrace, WA 98043 Phone: 425-640-7009
Ellen Hoa Ngo, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 21208 48th Ave W Apt B, Mountlake Terrace, WA 98043 Phone: 206-779-8819
Derek A. Crain, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6505 216th St Sw Ste 100, Mountlake Terrace, WA 98043 Phone: 425-640-7009 Fax: 425-678-6455

Nathanial Odell Render, LICSW - Medicare Clinical Social Worker in Mountlake Terrace, WA