| Wayne Allen Roberto Smith, LICSW | |
|
7809 Ne Vancouver Plaza Dr Ste 110, Vancouver, WA 98662-6639 | |
| (360) 882-2778 | |
| Not Available |
| Full Name | Wayne Allen Roberto Smith |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 9 Years |
| Location | 7809 Ne Vancouver Plaza Dr Ste 110, Vancouver, Washington |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346797461 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LW61066377 (Washington) | Primary |
| 1041C0700X | Social Worker - Clinical | L10599 (Oregon) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Peacehealth | 9739092065 | 93 |
| Entity Name | The Vancouver Clinic Inc Ps |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992759427 PECOS PAC ID: 3173436490 Enrollment ID: O20031111000793 |
| Entity Name | Kaiser Foundation Health Plan Of Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396810701 PECOS PAC ID: 9032022579 Enrollment ID: O20031112000454 |
| Entity Name | Kaiser Foundation Health Plan Of The Northwest |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040220000099 |
| Mailing Address | Practice Location Address |
|---|---|
| Wayne Allen Roberto Smith, LICSW 2220 Se 192nd Ave Apt C102, Vancouver, WA 98683-1404 Ph: (360) 904-2541 | Wayne Allen Roberto Smith, LICSW 7809 Ne Vancouver Plaza Dr Ste 110, Vancouver, WA 98662-6639 Ph: (360) 882-2778 |
Rachel Krokus, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1601 E Fourth Plain Blvd, V3satp, Vancouver, WA 98661 Phone: 503-220-8262 | |
Stephanie Bieber, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 750 Officers Row, Vancouver, WA 98661 Phone: 971-220-5882 | |
Gayle Dukart-hardy, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2700 Ne Andresen Rd, Suite D-9, Vancouver, WA 98661 Phone: 360-694-8558 | |
Mr. Joseph Melvin Klemz, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1498 Se Tech Center Pl Ste 300, Vancouver, WA 98683 Phone: 360-619-2226 Fax: 360-326-9691 | |
Brody Tucker, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12607 Se Mill Plain Blvd, Vancouver, WA 98684 Phone: 360-558-2456 | |
Angela Giacalone, LSWAIC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 905 Ne 68th St # B3, Vancouver, WA 98665 Phone: 360-209-2169 | |
Hannah Joslin, LICSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 13505 Ne 10th Ave, Vancouver, WA 98685 Phone: 303-433-9664 |