| Jere' L. Slingerland, Lcsw.inc | |
|
536 Butte Ave Ste 202 Pacific WA 98047-1413 | |
| (253) 638-8730 | |
| Not Available |
| Full Name | Jere' L. Slingerland, Lcsw.inc |
|---|---|
| Speciality | Social Worker |
| Location | 536 Butte Ave Ste 202, Pacific, Washington |
| Authorized Official Name and Position | Jere' L. Slingerland (OWNER) |
| Authorized Official Contact | 2536388730 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jere' L. Slingerland, Lcsw.inc 536 Butte Ave Pacific WA 98047-1413 Ph: (253) 638-8730 | Jere' L. Slingerland, Lcsw.inc 536 Butte Ave Ste 202 Pacific WA 98047-1413 Ph: (253) 638-8730 |
| NPI Number | 1992840656 |
|---|---|
| Provider Enumeration Date | 02/20/2007 |
| Last Update Date | 04/28/2023 |
| Certification Date | 04/28/2023 |
| Medicare PECOS PAC ID | 8426065392 |
|---|---|
| Medicare Enrollment ID | O20060317000236 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992840656 | NPI | - | NPPES |
| A841319 | Other | WA | VALUE OPTIONS |
| 13223100000 | Other | WA | PREMERA BLUE CROSS |
| SL3994 | Other | WA | REGENCE BLUESHIELD |
| 0001096491 | Other | WA | MHN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LW00005576 (Washington) | Primary |
| Provider Name | Jere L Slingerland |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295950582 PECOS PAC ID: 6507873478 Enrollment ID: I20060317000257 |