Jill Marie Hollenbeck, LSWAIC is a
Social Worker - Clinical based in Black Diamond, Washington. Jill Marie Hollenbeck is licensed to practice in Washington (license number SC60289635) and her current practice location is
32637 Ash Ave Se, Black Diamond, Washington. She can be reached at her office (for appointments etc.) via phone at
(206) 501-1253.
NPI number for Jill Marie Hollenbeck is 1295415933 and her current mailing address is Po Box 1118, Maple Valley, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1295415933.
Healthcare Provider's Profile
Full Name | Jill Marie Hollenbeck |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 32637 Ash Ave Se, Black Diamond, Washington |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1295415933
- Provider Enumeration Date: 07/18/2023
- Last Update Date: 07/18/2023
Medical Identifiers
Medical identifiers for Jill Marie Hollenbeck such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1295415933 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | SC60289635 (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. Jill Marie Hollenbeck 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 |
Jill Marie Hollenbeck, LSWAIC Po Box 1118, Maple Valley, WA 98010-1118 Ph: (206) 501-1253 | Jill Marie Hollenbeck, LSWAIC 32637 Ash Ave Se, Black Diamond, WA 98010-5080 Ph: (206) 501-1253 |
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