Jillian Henderson, LCSW, LAC | |
402 S 4th Ave, Yakima, WA 98902-3546 | |
(509) 575-4084 | |
Not Available |
Full Name | Jillian Henderson |
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Gender | Female |
Speciality | Social Worker |
Location | 402 S 4th Ave, Yakima, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447794680 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 20063 (Montana) | Secondary |
104100000X | Social Worker | (* (Not Available)) | Primary |
Entity Name | Healing Roots Behavioral Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134868573 PECOS PAC ID: 3971987082 Enrollment ID: O20220908000797 |
Mailing Address | Practice Location Address |
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Jillian Henderson, LCSW, LAC 19445 Twin Lakes Rd, Frenchtown, MT 59834-9711 Ph: () - | Jillian Henderson, LCSW, LAC 402 S 4th Ave, Yakima, WA 98902-3546 Ph: (509) 575-4084 |
Nicole A Tatum, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 402 S 4th Ave, Yakima, WA 98902 Phone: 509-575-4084 | |
Karen Eileen Hilbert, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Yakima Cboc, 717 Fruitvale Blvd, Yakima, WA 98908 Phone: 509-966-0199 Fax: 509-966-4266 | |
Ms. Ashley Nicole Ellerbe, BA/AAC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5301 Tieton Drive, Suite C, C/o Catholic Family & Child Service, Yakima, WA 98908 Phone: 509-965-7100 Fax: 509-966-9750 | |
Lisa Herr, MSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 412 S 12th Ave, Yakima, WA 98902 Phone: 509-469-2160 | |
Mrs. Teresa Margaret Andrews, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 302 S 10th Ave, Yakima, WA 98902 Phone: 509-574-3600 | |
Amy Nicole Barlow, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 618 Titleist Ln, Yakima, WA 98901 Phone: 509-307-2572 | |
Reeva Ohms-ganuelas, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5301 Tieton Dr, Yakima, WA 98908 Phone: 509-965-7100 |