Jeffery Alan Patee Cotta, LCSW is a
Social Worker based in Hoquiam, Washington. Jeffery Alan Patee Cotta is licensed to practice in Washington (license number LW30106946) and his current practice location is
205 8th St, Hoquiam, Washington. He can be reached at his office (for appointments etc.) via phone at
(360) 764-5762.
NPI number for Jeffery Alan Patee Cotta is 1922338896 and his current mailing address is Po Box 1164, South Bend, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1922338896.
Healthcare Provider's Profile
| Full Name | Jeffery Alan Patee Cotta |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker |
|---|
| Location | 205 8th St, Hoquiam, Washington |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1922338896
- Provider Enumeration Date: 12/28/2009
- Last Update Date: 06/23/2021
Medical Identifiers
Medical identifiers for Jeffery Alan Patee Cotta such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1922338896 | NPI | - | NPPES |
| 1922338896 | Medicaid | WA | |
| 192233896 | Medicaid | CA | |
| 1922338896 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | LCS 25359 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | LW60106946 (Washington) | Secondary |
| 104100000X | Social Worker | LW30106946 (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jeffery Alan Patee Cotta is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jeffery Alan Patee Cotta, LCSW
Po Box 1164,
South Bend, WA 98586-1164
Ph: (564) 888-3000 | Jeffery Alan Patee Cotta, LCSW
205 8th St,
Hoquiam, WA 98550-2507
Ph: (360) 764-5762 |
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