| Suzanne Meller, | |
|
1210 Sw 136th St, Burien, WA 98166-1214 | |
| (206) 390-5662 | |
| Not Available |
| Full Name | Suzanne Meller |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1210 Sw 136th St, Burien, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780187351 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SC60836018 (Washington) | Primary |
| Entity Name | Overlake Medical Clinics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801828421 PECOS PAC ID: 7012808827 Enrollment ID: O20040322001533 |
| Mailing Address | Practice Location Address |
|---|---|
| Suzanne Meller, 1647 S Weller St, Seattle, WA 98144-2124 Ph: () - | Suzanne Meller, 1210 Sw 136th St, Burien, WA 98166-1214 Ph: (206) 390-5662 |
Zoie Kujawa, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1033 Sw 152nd St, Burien, WA 98166 Phone: 206-242-1698 | |
Sarahi Maria Bedell, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1019 Sw 152nd St, Burien, WA 98166 Phone: 206-248-8226 Fax: 206-829-1301 | |
Mr. Kerry D Blackburn, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 929 Sw 152nd St, Suite D, Burien, WA 98166 Phone: 206-431-3171 Fax: 206-242-7330 | |
Ms. Martha Louise Davis, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14249 Ambaum Blvd Sw, R, Burien, WA 98166 Phone: 206-431-8559 Fax: 206-444-0406 | |
Daicia Mestas, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1416 Sw 151st St, Burien, WA 98166 Phone: 206-741-6194 | |
Darby Frye, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11219 25th Ave Sw, Burien, WA 98146 Phone: 843-251-9160 | |
Christine Lee Peterson, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1210 Sw 136th St, Burien, WA 98166 Phone: 206-257-6734 Fax: 206-257-6825 |