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NPI Code Detail

MEDICARE: JAMES W PRITCHETT LCSW

MEDICARE: JAMES W PRITCHETT LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker0904005368VA
21041C0700XClinical Social WorkerLCSW-L15865OR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1932290038
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES W PRITCHETT LCSW
Provider Business Mailing Address
First Line : 3425 13TH ST
Second Line :
City : BAKER CITY
State : OR
Zip : 97814-1340
Country : US
Telephone Number : 541-523-7400
Fax Number : 541-523-4927
Provider Business Practice Location Address
First Line : 3425 13TH ST
Second Line :
City : BAKER CITY
State : OR
Zip : 97814-1340
Country : US
Telephone Number : 541-523-7400
Fax Number : 541-523-4927
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2006
Last Update Date : 12/03/2024

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Directions to “ JAMES W PRITCHETT LCSW” Practice Location

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