Mr Jeremy Damon Oberender, MSW, SUDP, LICSWA, M is a
Social Worker - Clinical based in Spokane, Washington. Mr Jeremy Damon Oberender is licensed to practice in Washington (license number SC61572929) and his current practice location is
622 E 2nd Ave, Spokane, Washington. He can be reached at his office (for appointments etc.) via phone at
(509) 960-8529.
NPI number for Mr Jeremy Damon Oberender is 1285288167 and his current mailing address is 3325 W Hoffman Ave, Spokane, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1285288167.
Healthcare Provider's Profile
| Full Name | Mr Jeremy Damon Oberender |
|---|
| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 622 E 2nd Ave, Spokane, Washington |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1285288167
- Provider Enumeration Date: 07/29/2019
- Last Update Date: 03/20/2025
Medical Identifiers
Medical identifiers for Mr Jeremy Damon Oberender such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285288167 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CP61156622 (Washington) | Secondary |
| 101YM0800X | Counselor - Mental Health | SC61572929 (Washington) | Secondary |
| 1041C0700X | Social Worker - Clinical | SC61572929 (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Jeremy Damon Oberender is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Jeremy Damon Oberender, MSW, SUDP, LICSWA, M
3325 W Hoffman Ave,
Spokane, WA 99205-1713
Ph: (509) 315-7312 | Mr Jeremy Damon Oberender, MSW, SUDP, LICSWA, M
622 E 2nd Ave,
Spokane, WA 99202-2202
Ph: (509) 960-8529 |
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