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Jessie L Arambul

Individual provider Active NPI Clinical Social Worker · Pasco, WA

NPI 1104266501 · NPPES record last updated Oct 3, 2023

Key facts

NPI
1104266501
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
LW60695496 (WA)
Practice address
5807 W Ruby St
Pasco, WA 99301-2771
Phone
(509) 539-1447
NPI assigned
Jun 28, 2013
Reactivated
Oct 3, 2023
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Our Lady of Lourdes Hosptial at Pasco Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LW60695496 WA
Clinical Social Worker 1041C0700X LW60695496 WA Yes

Addresses

Primary practice location

5807 W Ruby St
Pasco, WA 99301-2771

Mailing address

5807 W Ruby St
Pasco, WA 99301-2771
Phone (509) 539-1447

Other practice location 1

500 N Morain St Ste 1250
Kennewick, WA 99336-2967
Phone (509) 783-0500

Other practice location 2

500 N Morain St Ste 1250
Kennewick, WA 99336-2967
Phone (509) 783-0500

Other names

  • Miss Jessie L Stark Former name

Other providers in Pasco, WA

All providers in Pasco, WA · Clinical Social Worker in Washington

Sources for this page

Verify at the official NPI Registry.