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
- Title
- Owner/Provider
- Phone
- (360) 747-7414
Practitioners 1
-
Adelle S Stubblefield, LICSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2146458 | Medicaid | WA |
Other providers in Elma, WA
- Charlene Abrahamson
- Teresa Jane Anderson
- Shawn M. Andrews
- Laura Elaine Armstrong
- Jorge Arredondo-Renteria
- Amir Atabeygi
All providers in Elma, WA · Clinical Social Worker in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 14, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.