| Caitlin Jesse, Grief Pathways, Pllc | |
|
4860 Rainier Ave S Ste C Seattle WA 98118-6305 | |
| (206) 454-9678 | |
| Not Available |
| Full Name | Caitlin Jesse, Grief Pathways, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 4860 Rainier Ave S Ste C, Seattle, Washington |
| Authorized Official Name and Position | Caitlin Anne Jesse (OWNER) |
| Authorized Official Contact | 2064549678 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Caitlin Jesse, Grief Pathways, Pllc 4326 S Holly St Seattle WA 98118-3324 Ph: (206) 948-0774 | Caitlin Jesse, Grief Pathways, Pllc 4860 Rainier Ave S Ste C Seattle WA 98118-6305 Ph: (206) 454-9678 |
| NPI Number | 1619501962 |
|---|---|
| Provider Enumeration Date | 02/25/2020 |
| Last Update Date | 02/25/2020 |
| Certification Date | 02/25/2020 |
| Medicare PECOS PAC ID | 3779945233 |
|---|---|
| Medicare Enrollment ID | O20230815002771 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619501962 | NPI | - | NPPES |
| 1689208993 | Other | WA | TYPE 1 INDIVIDUAL PROVIDER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Caitlin Anne Jesse |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689208993 PECOS PAC ID: 4688036148 Enrollment ID: I20230815002852 |
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