Jere' L. Slingerland, LCSW.Inc

Organization Active NPI Clinical Social Worker · Pacific, WA

NPI 1992840656 · NPPES record last updated Apr 28, 2023

Key facts

NPI
1992840656
Entity type
Organization (NPI type 2)
Primary specialty
Clinical Social Worker 1041C0700X
License
LW00005576 (WA)
Legal business name
JERE' L. SLINGERLAND, LCSW.INC
Practice address
536 Butte Ave Ste 202
Pacific, WA 98047-1413
Phone
(253) 638-8730
NPI assigned
Feb 20, 2007
Organization subpart
No

Authorized official

Name
Ms. Jere' L. Slingerland, LICSW
Title
Owner
Phone
(253) 638-8730

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
O20060317000236 WA Part B Supplier - Clinic/Group Practice 8426065392 Receives reassigned benefits from 1 practitioner
Practice locations: Pacific, WA

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker
Group: 193400000X SINGLE SPECIALTY GROUP
1041C0700X LW00005576 WA Yes

Addresses

Primary practice location

536 Butte Ave Ste 202
Pacific, WA 98047-1413

Mailing address

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

Other identifiers

IdentifierTypeStateIssuer
A841319OtherWAVALUE OPTIONS
13223100000OtherWAPREMERA BLUE CROSS
SL3994OtherWAREGENCE BLUESHIELD
0001096491OtherWAMHN

Other providers in Pacific, WA

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

Sources for this page

Verify at the official NPI Registry.