| Ms Jennifer Elaine Wentworth, MA LMFT | |
|
10501 Creek Street Se, Ste 2, Yelm, WA 98597 | |
| (360) 960-0441 | |
| Not Available |
| Full Name | Ms Jennifer Elaine Wentworth |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 10501 Creek Street Se, Yelm, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669759155 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | LF61054557 (Washington) | Secondary |
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Entity Name | Wentworth Mft Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518674993 PECOS PAC ID: 5496292369 Enrollment ID: O20240809000190 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Jennifer Elaine Wentworth, MA LMFT 10501 Creek Street Se, Ste 2, Yelm, WA 98597 Ph: (360) 960-0441 | Ms Jennifer Elaine Wentworth, MA LMFT 10501 Creek Street Se, Ste 2, Yelm, WA 98597 Ph: (360) 960-0441 |
Edith Bishop Edwards, Counselor Medicare: Not Enrolled in Medicare Practice Location: 202 Cullens St Nw, Yelm, WA 98597 Phone: 360-400-4860 Fax: 360-400-4826 | |
Jeannette Mae Horton, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 112 12th Street, Yelm, WA 98597 Phone: 360-778-2249 | |
Karla Janeth Burton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 313 Yelm Ave W, Yelm, WA 98597 Phone: 360-960-0441 | |
Mr. Robert Jerome Bromberg, BA, CDP Counselor Medicare: Not Enrolled in Medicare Practice Location: 306 2nd St Ne, Yelm, WA 98597 Phone: 360-400-2242 Fax: 360-400-2471 | |
Patricia Ann Getz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10520 Creek St Se Apt F103, Yelm, WA 98597 Phone: 360-999-7198 | |
Josielyn Ordonio Shaeffer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 202 Cullens St Nw, Yelm, WA 98597 Phone: 360-400-4813 Fax: 360-400-4826 | |
Austin Tyler Platt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 20506 151st Ln Se, Yelm, WA 98597 Phone: 253-888-3194 |