| Pamela Dawn Russell, LICSW | |
|
6 S 2nd St Suite 712, Yakima, WA 98901-2629 | |
| (509) 490-2584 | |
| Not Available |
| Full Name | Pamela Dawn Russell |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 16 Years |
| Location | 6 S 2nd St Suite 712, Yakima, Washington |
| 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 |
|---|---|---|---|
| 1639296205 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 60458616 (Washington) | Secondary |
| 1041C0700X | Social Worker - Clinical | LW60458616 (Washington) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mindful Therapy Group Pc | 4981872561 | 440 |
| Entity Name | Comprehensive Healthcare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073527453 PECOS PAC ID: 7618875022 Enrollment ID: O20031223000155 |
| Entity Name | Mindful Therapy Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316238678 PECOS PAC ID: 4981872561 Enrollment ID: O20110726000730 |
| Mailing Address | Practice Location Address |
|---|---|
| Pamela Dawn Russell, LICSW Po Box 532, Selah, WA 98942-0532 Ph: (509) 490-2584 | Pamela Dawn Russell, LICSW 6 S 2nd St Suite 712, Yakima, WA 98901-2629 Ph: (509) 490-2584 |
Nicole A Tatum, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 402 S 4th Ave, Yakima, WA 98902 Phone: 509-575-4084 | |
Karen Eileen Hilbert, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Yakima Cboc, 717 Fruitvale Blvd, Yakima, WA 98908 Phone: 509-966-0199 Fax: 509-966-4266 | |
Ms. Ashley Nicole Ellerbe, BA/AAC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5301 Tieton Drive, Suite C, C/o Catholic Family & Child Service, Yakima, WA 98908 Phone: 509-965-7100 Fax: 509-966-9750 | |
Lisa Herr, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 412 S 12th Ave, Yakima, WA 98902 Phone: 509-469-2160 | |
Mrs. Teresa Margaret Andrews, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 302 S 10th Ave, Yakima, WA 98902 Phone: 509-574-3600 | |
Amy Nicole Barlow, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 618 Titleist Ln, Yakima, WA 98901 Phone: 509-307-2572 | |
Aaron J Crockett, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1115 W Lincoln Ave Ste 119, Yakima, WA 98902 Phone: 509-480-2259 |