| Shanice Darnae Fluitt, | |
| 
					101 Elliott Ave W Ste 500, Seattle, WA 98119-4292  | |
| (386) 690-1301 | |
| Not Available | 
| Full Name | Shanice Darnae Fluitt | 
|---|---|
| Gender | Female | 
| Speciality | Social Worker - Clinical | 
| Location | 101 Elliott Ave W Ste 500, Seattle, Washington | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1588250245 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW23582 (Florida) | Secondary | 
| 1041C0700X | Social Worker - Clinical | SC61504325 (Washington) | Primary | 
| Entity Name | Che Behavioral Health Services Of Florida, P.a. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1932721206 PECOS PAC ID: 5698185775 Enrollment ID: O20201030000621  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Shanice Darnae Fluitt, 100 N Howard St Ste W, Spokane, WA 99201-0508 Ph: (386) 690-1301  | Shanice Darnae Fluitt, 101 Elliott Ave W Ste 500, Seattle, WA 98119-4292 Ph: (386) 690-1301  | 
Jacqueline M. Kim, LICSW, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 325 9th Ave, Box 359760, Seattle, WA 98104 Phone: 206-744-8511 Fax: 206-744-2032  | |
Kathryn Amanda Lidgard, LSWAIC Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2100 24th Ave S Ste 260, Seattle, WA 98144 Phone: 206-715-6051  | |
Ms. Molly Grogan, LSWAIC CDPT  MHP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2600 Sw Holden St, Seattle, WA 98126 Phone: 206-933-7000  | |
Arianna Daniels,  Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4219 Sw Juneau St, Seattle, WA 98136 Phone: 301-356-1580  | |
Paige Hustead Law,  Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9800 4th Ave Ne, Seattle, WA 98115 Phone: 206-302-1200  | |
Tam T Bui, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1730 Minor Ave Ste 400, Seattle, WA 98101 Phone: 844-552-2734  | |
Mr. Michael H. Shaw, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1660 S Columbian Way, Seattle, WA 98108 Phone: 206-277-1176 Fax: 206-768-5227  |