| Regina E Vander, LCSW | |
| 4742 Liberty Rd. S., #525, Salem, OR 97302-5037 | |
| (503) 858-5867 | |
| (503) 815-2383 | 
| Full Name | Regina E Vander | 
|---|---|
| Gender | Female | 
| Speciality | Social Worker - Clinical | 
| Location | 4742 Liberty Rd. S., Salem, Oregon | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1518001734 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | L3859 (Oregon) | Secondary | 
| 1041C0700X | Social Worker - Clinical | 3859 (Oregon) | Primary | 
| Entity Name | A Healing Intention Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1104236819 PECOS PAC ID: 9335363126 Enrollment ID: O20140618000613 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Regina E Vander, LCSW 4742 Liberty Rd. S., #525, Salem, OR 97302-5037 Ph: (503) 858-5867 | Regina E Vander, LCSW 4742 Liberty Rd. S., #525, Salem, OR 97302-5037 Ph: (503) 858-5867 | 
| 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 |