Adelle'S Child and Family Services

Organization Active NPI Clinical Social Worker · Elma, WA

NPI 1700529609 · NPPES record last updated May 14, 2025

Key facts

NPI
1700529609
Entity type
Organization (NPI type 2)
Primary specialty
Clinical Social Worker 1041C0700X
Legal business name
ADELLE'S CHILD AND FAMILY SERVICES
Practice address
3 Roger LN
Elma, WA 98541-9504
Phone
(360) 747-7414
Fax
(360) 667-2666
NPI assigned
Apr 18, 2022
Organization subpart
No

Authorized official

Name
Adelle S Stubblefield, LICSW NPI 1508234550
Title
Owner/Provider
Phone
(360) 747-7414

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in WA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20221129002982 WA Part B Supplier - Clinic/Group Practice 5395113104 Receives reassigned benefits from 1 practitioner
Practice locations: Aberdeen, WA; Elma, WA

National Provider Directory

Locations

418 E 1st St
Ste 209
Aberdeen, WA 98520
Phone (360) 747-7414

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker
Group: 193200000X MULTI-SPECIALTY GROUP
1041C0700X Yes

Addresses

Primary practice location

3 Roger LN
Elma, WA 98541-9504

Mailing address

PO Box 1329
Elma, WA 98541-1329
Phone (360) 747-7414

Other identifiers

IdentifierTypeStateIssuer
2146458MedicaidWA

Other providers in Elma, WA

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

Sources for this page

Verify at the official NPI Registry.