| Mary Murphy, Licsw, Pllc | |
|
927 N Northlake Way Ste 220 Seattle WA 98103-8871 | |
| (206) 550-0374 | |
| Not Available |
| Full Name | Mary Murphy, Licsw, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 927 N Northlake Way Ste 220, Seattle, Washington |
| Authorized Official Name and Position | Mary Murphy (OWNER) |
| Authorized Official Contact | 2065500374 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Murphy, Licsw, Pllc 927 N Northlake Way Ste 220 Seattle WA 98103-8871 Ph: (206) 550-0374 | Mary Murphy, Licsw, Pllc 927 N Northlake Way Ste 220 Seattle WA 98103-8871 Ph: (206) 550-0374 |
| NPI Number | 1245855774 |
|---|---|
| Provider Enumeration Date | 06/10/2020 |
| Last Update Date | 03/05/2022 |
| Certification Date | 03/05/2022 |
| Medicare PECOS PAC ID | 3779907142 |
|---|---|
| Medicare Enrollment ID | O20200717000887 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245855774 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Mary Murphy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548313935 PECOS PAC ID: 6608004015 Enrollment ID: I20200717000535 |
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