Individual ProviderLindsey NowackiSocial WorkerBehavioral Health & Social Service ProvidersPractice Address15700 SW Greystone Ct, Beaverton, OR 97006-6011(971) 262-9150PECOS EnrollmentBased on the most recent information from CMS, provider Lindsey Nowacki is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1649656455Provider TypeIndividualFull NameNowacki, LindseyCredentialLCSWGenderFemaleSole ProprietorNoEnumeration Date8/4/2015Last Updated8/7/2024Contact InformationPractice LocationPractice Address15700 SW Greystone Ct, Beaverton, OR 97006-6011Phone(971) 262-9150FaxUnlisted FaxMailing LocationMailing Address15700 SW Greystone Ct, Beaverton, OR 97006-6011Phone(971) 262-9150FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseL14753OregonCode1041C0700XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseC011000North Carolina