| Shoreline Counseling Llc | |
|
10 Pier 1 Ste 204 Astoria OR 97103-6328 | |
| (503) 789-6850 | |
| Not Available |
| Full Name | Shoreline Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 10 Pier 1 Ste 204, Astoria, Oregon |
| Authorized Official Name and Position | Sarah Von Colditz (LCSW) |
| Authorized Official Contact | 5037896850 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shoreline Counseling Llc 10 Pier 1 Ste 204 Astoria OR 97103-6328 Ph: (503) 789-6850 | Shoreline Counseling Llc 10 Pier 1 Ste 204 Astoria OR 97103-6328 Ph: (503) 789-6850 |
| NPI Number | 1437548807 |
|---|---|
| Provider Enumeration Date | 01/22/2015 |
| Last Update Date | 01/22/2015 |
| Medicare PECOS PAC ID | 4587985049 |
|---|---|
| Medicare Enrollment ID | O20150609001749 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437548807 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | L6292 (Oregon) | Primary |
| Provider Name | Sarah Anne Von Colditz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104224393 PECOS PAC ID: 5496076952 Enrollment ID: I20150609001837 |
| Provider Name | Mark Muse |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487053674 PECOS PAC ID: 4587922398 Enrollment ID: I20171228001831 |
| Provider Name | Valeria J Toth |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760003131 PECOS PAC ID: 0042632796 Enrollment ID: I20200625001054 |
| Provider Name | Grace Laman |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1235743154 PECOS PAC ID: 4587073622 Enrollment ID: I20210503000393 |
| Provider Name | Carrie Lee Rawson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134612377 PECOS PAC ID: 9032507314 Enrollment ID: I20211020000499 |
| Provider Name | Alysia Khendek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578047783 PECOS PAC ID: 0244628295 Enrollment ID: I20211025003122 |
| Provider Name | Leann Waggoner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285233510 PECOS PAC ID: 8527447432 Enrollment ID: I20220623002649 |
| Provider Name | Sharmy Rasheed |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679172845 PECOS PAC ID: 4880063239 Enrollment ID: I20221207002009 |
| Provider Name | Megan E Salisbury |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730606989 PECOS PAC ID: 0345599684 Enrollment ID: I20230130000255 |
| Provider Name | Sara Moller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508231275 PECOS PAC ID: 4082066147 Enrollment ID: I20240115001025 |
| Provider Name | Pamela Green |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477978641 PECOS PAC ID: 5597117168 Enrollment ID: I20240118004171 |
| Provider Name | Lindsey Conway |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972111680 PECOS PAC ID: 8527404052 Enrollment ID: I20240307000225 |
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