Prudence Zollinger, LCSW, ABD | |
850 Sw 4th St Ste 302, Madras, OR 97741-9629 | |
(541) 475-6575 | |
Not Available |
Full Name | Prudence Zollinger |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 850 Sw 4th St Ste 302, Madras, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326025891 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 12063 (Oregon) | Primary |
Entity Name | Therapeutic Transformations Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639682909 PECOS PAC ID: 5092078964 Enrollment ID: O20180406002425 |
Mailing Address | Practice Location Address |
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Prudence Zollinger, LCSW, ABD 289 Ireland Ave, Ireland Army Community Hospital, Fort Knox, KY 40121-5111 Ph: (502) 624-9972 | Prudence Zollinger, LCSW, ABD 850 Sw 4th St Ste 302, Madras, OR 97741-9629 Ph: (541) 475-6575 |
Laura Leanne Olson, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 910 Sw Highway 97, Ste 101, Madras, OR 97741 Phone: 541-475-7800 | |
Robbin Webber Foster, L.C.S.W. (M.S.W.) Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 470 Ne 'a' St., St. Charles Hospice, Madras, OR 97741 Phone: 541-420-8673 Fax: 541-475-0602 |