| Judy Thornton Msw Pllc | |
|
1303 W Maxwell Ave Spokane WA 99201-2714 | |
| (509) 747-7147 | |
| (509) 323-1607 |
| Full Name | Judy Thornton Msw Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 1303 W Maxwell Ave, Spokane, Washington |
| Authorized Official Name and Position | Judy Ann Thornton (OWNER/PROVIDER) |
| Authorized Official Contact | 5097477147 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Judy Thornton Msw Pllc 10720 E 15th Ave Spokane Valley WA 99206-5586 Ph: (509) 979-7922 | Judy Thornton Msw Pllc 1303 W Maxwell Ave Spokane WA 99201-2714 Ph: (509) 747-7147 |
| NPI Number | 1902364003 |
|---|---|
| Provider Enumeration Date | 03/07/2019 |
| Last Update Date | 12/28/2021 |
| Certification Date | 12/28/2021 |
| Medicare PECOS PAC ID | 8123356375 |
|---|---|
| Medicare Enrollment ID | O20190826002226 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902364003 | NPI | - | NPPES |
| 2106599 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Judy A Thornton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093804130 PECOS PAC ID: 7214091297 Enrollment ID: I20090206000079 |
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