| Adelle's Child And Family Services | |
|
3 Roger Ln Elma WA 98541-9504 | |
| (360) 747-7414 | |
| (360) 667-2666 |
| Full Name | Adelle's Child And Family Services |
|---|---|
| Speciality | Social Worker |
| Location | 3 Roger Ln, Elma, Washington |
| Authorized Official Name and Position | Adelle S Stubblefield (OWNER/PROVIDER) |
| Authorized Official Contact | 3607477414 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adelle's Child And Family Services Po Box 1329 Elma WA 98541-1329 Ph: (360) 747-7414 | Adelle's Child And Family Services 3 Roger Ln Elma WA 98541-9504 Ph: (360) 747-7414 |
| NPI Number | 1700529609 |
|---|---|
| Provider Enumeration Date | 04/18/2022 |
| Last Update Date | 05/14/2025 |
| Certification Date | 05/14/2025 |
| Medicare PECOS PAC ID | 5395113104 |
|---|---|
| Medicare Enrollment ID | O20221129002982 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700529609 | NPI | - | NPPES |
| 2146458 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Adelle Stubblefield |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508234550 PECOS PAC ID: 3072853530 Enrollment ID: I20201231001490 |
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