Providence Medical Group Southeast Washington is a Social Worker (Clinical) Clinic in Walla Walla, Washington. It is situated at 380 Chase Avenue, Pmg Se Wa, Walla Walla and its contact number is 509-526-3333. The authorized person of Providence Medical Group Southeast Washington is Donald Wayne Anderson Jr.
who is Asst Sec Of Enrollment/dir Reimb St of the clinic and their contact number is 425-525-5392. Primary license number for Providence Medical Group Southeast Washington is H-050 (Family Medicine) in Washington.
Complete Clinic Profile:
Providence Medical Group Southeast Washington Clinic speciality, address, contact phone number and fax are as below.
Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Specialization:
Clinical, Social Worker
Clinic Address:
380 Chase Avenue, Pmg Se Wa, Walla Walla, Washington, 99362-2924
Phone:
509-526-3333
Fax:
509-526-8402
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Donald Wayne Anderson Jr.
Position:
Asst Sec Of Enrollment/dir Reimb St
Contact Number:
425-525-5392
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Providence Medical Group Southeast Washington Clinic are as mentioned below.
NPI Number:
1922259738
NPI Enumeration Date:
10 Oct, 2008
NPI Last Update On:
02 Sep, 2022
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Providence Medical Group Southeast Washington are as mentioned below.
Specialization
License Number
State
Status
Family Medicine
H-050
Washington
Primary
Clinical
Secondary
Internal Medicine
H-050
Washington
Secondary
Orthopaedic Surgery
H-050
Washington
Secondary
Surgery
H-050
Washington
Secondary
Orthotic Fitter
Secondary
Physical Therapist
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
115284
Other
Washington
L&i State
7028186
Medicaid
Washington
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Providence Medical Group Southeast Washington Po Box 32, Liberty Lake, Washington
Zip:
99019-0032
Phone Number:
509-529-8905
Fax Number:
509-526-8402
Patients can reach Providence Medical Group Southeast Washington at 380 Chase Avenue, Pmg Se Wa, Walla Walla, Washington or can call to book an appointment on 509-526-3333. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
Comments/ Reviews:
Social Worker (Clinical): A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.