Mrs Jeannette Wyatt Mulvihill, MSW, LICSW, SUDP is a
Social Worker - Clinical based in Bothell, Washington. Mrs Jeannette Wyatt Mulvihill is licensed to practice in Washington (license number LW61503389) and her current practice location is
15601 93rd Ct Ne, Bothell, Washington. She can be reached at her office (for appointments etc.) via phone at
(206) 588-6975.
NPI number for Mrs Jeannette Wyatt Mulvihill is 1720555840 and her current mailing address is 815 N Stratford Rd Ste B, Moses Lake, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1720555840.
Healthcare Provider's Profile
Full Name | Mrs Jeannette Wyatt Mulvihill |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 15601 93rd Ct Ne, Bothell, Washington |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1720555840
- Provider Enumeration Date: 10/26/2018
- Last Update Date: 06/25/2024
Medical Identifiers
Medical identifiers for Mrs Jeannette Wyatt Mulvihill such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720555840 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | CP60499386 (Washington) | Secondary |
1041C0700X | Social Worker - Clinical | LW61503389 (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Jeannette Wyatt Mulvihill is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Jeannette Wyatt Mulvihill, MSW, LICSW, SUDP 815 N Stratford Rd Ste B, Moses Lake, WA 98837-1587 Ph: (206) 588-6975 | Mrs Jeannette Wyatt Mulvihill, MSW, LICSW, SUDP 15601 93rd Ct Ne, Bothell, WA 98011-6810 Ph: (206) 588-6975 |
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