Individual provider Active NPI

Jere' L Slingerland, MSW

  • Clinical Social Worker
  • Pacific, WA
National Provider Identifier
1295950582
Registry record updated May 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
00005576 Issued in WA
Practice address
536 Butte Ave
Pacific, WA 98047-1413
Phone
(253) 638-8730
NPI assigned
Apr 13, 2007
Last updated
May 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 00005576 WA Primary

Addresses

Primary practice location

536 Butte Ave
Pacific, WA 98047-1413

Mailing address

536 Butte Ave
Pacific, WA 98047-1413
Phone (253) 638-8730

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060317000257 WA Practitioner - Clinical Social Worker 6507873478 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

536 Butte Ave
Pacific, WA 98047-1413
Phone (253) 638-8730

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00005576WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jere' L. Slingerland, LCSW.Inc Clinical CurrentSince May 1, 2003 Accepting new patients

Locations

16720 SE 271st St
Ste 202
Covington, WA 98042
Phone (253) 630-4995

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683244800000",
    "number": "1295950582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "536 BUTTE AVE",
            "city": "PACIFIC",
            "state": "WA",
            "postal_code": "980471413",
            "telephone_number": "253-638-8730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "536 BUTTE AVE",
            "city": "PACIFIC",
            "state": "WA",
            "postal_code": "980471413",
            "telephone_number": "253-638-8730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLINGERLAND",
        "first_name": "JERE'",
        "middle_name": "L",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-13",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "00005576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pacific, WA

Sources for this page

Verify at the official NPI Registry.