Christine Lee Peterson, LICSW | |
1210 Sw 136th St, Burien, WA 98166-1214 | |
(206) 257-6734 | |
(206) 257-6825 |
Full Name | Christine Lee Peterson |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1210 Sw 136th St, Burien, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154891612 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LW60235824 (Washington) | Primary |
Entity Name | Navos |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194728105 PECOS PAC ID: 4385545474 Enrollment ID: O20040120001086 |
Mailing Address | Practice Location Address |
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Christine Lee Peterson, LICSW 19203 121st Pl Se, Kent, WA 98031-0545 Ph: (206) 372-9040 | Christine Lee Peterson, LICSW 1210 Sw 136th St, Burien, WA 98166-1214 Ph: (206) 257-6734 |
Zoie Kujawa, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1033 Sw 152nd St, Burien, WA 98166 Phone: 206-242-1698 | |
Mr. Kerry D Blackburn, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 929 Sw 152nd St, Suite D, Burien, WA 98166 Phone: 206-431-3171 Fax: 206-242-7330 | |
Ms. Martha Louise Davis, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14249 Ambaum Blvd Sw, R, Burien, WA 98166 Phone: 206-431-8559 Fax: 206-444-0406 | |
Daicia Mestas, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1416 Sw 151st St, Burien, WA 98166 Phone: 206-741-6194 | |
Darby Frye, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11219 25th Ave Sw, Burien, WA 98146 Phone: 843-251-9160 | |
Jordynn Millicent Knott, LICSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1210 Sw 136th St, Burien, WA 98166 Phone: 206-933-7007 |