Rachel J Jevmore, LICSW
Social Worker, Clinical in Seattle, WA. Individual provider (NPI-1).
NPI number1164020509
StatusActive
Last updated in NPPESDec 31, 2020
Details
- NPI
- 1164020509
- Entity type
- Individual (NPI-1)
- Name
- Rachel J Jevmore
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 16, 2020
- Certification date
- Dec 31, 2020
- Last updated
- Dec 31, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | LW61023791 | WA | Yes |
| 104100000X | Social Worker | LW61023791 | WA |
Practice location
1229 Madison St Ste 750Seattle, WA 98104-3540
Phone 206-386-2101 · Fax 206-386-2555
Mailing address
Po Box 25608Salt Lake City, UT 84125-0608
Phone 206-320-4476 · Fax 206-568-7043
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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