| Pete Bell, Lcsw, Inc. | |
|
2724 Cady Rd Jacksonville OR 97530-9431 | |
| (404) 680-6662 | |
| (706) 250-9945 |
| Full Name | Pete Bell, Lcsw, Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 2724 Cady Rd, Jacksonville, Oregon |
| Authorized Official Name and Position | Pete Bell (PRESIDENT) |
| Authorized Official Contact | 4046806662 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pete Bell, Lcsw, Inc. 2724 Cady Rd Jacksonville OR 97530-9431 Ph: (404) 680-6662 | Pete Bell, Lcsw, Inc. 2724 Cady Rd Jacksonville OR 97530-9431 Ph: (404) 680-6662 |
| NPI Number | 1902209588 |
|---|---|
| Provider Enumeration Date | 09/26/2014 |
| Last Update Date | 04/23/2025 |
| Certification Date | 04/23/2025 |
| Medicare PECOS PAC ID | 7517187743 |
|---|---|
| Medicare Enrollment ID | O20141009002017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902209588 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSW005070 (Georgia) | Primary |
| Provider Name | Peter Bell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104248384 PECOS PAC ID: 8426278656 Enrollment ID: I20141030001237 |
Southern Oregon Cbt Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 235 W Main St, Jacksonville, OR 97530 Phone: 541-204-4933 Fax: 800-433-1396 |