Justin Herndon, LSWAIC is a
Counselor based in Tukwila, Washington. Justin Herndon is licensed to practice in * (Not Available) (license number ) and his current practice location is
6400 Southcenter Blvd, Tukwila, Washington. He can be reached at his office (for appointments etc.) via phone at
(206) 901-2000.
NPI number for Justin Herndon is 1922755115 and his current mailing address is 6400 Southcenter Blvd, Tukwila, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1922755115.
Healthcare Provider's Profile
| Full Name | Justin Herndon |
|---|
| Gender | Male |
|---|
| Speciality | Counselor |
|---|
| Location | 6400 Southcenter Blvd, Tukwila, 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: 1922755115
- Provider Enumeration Date: 03/07/2022
- Last Update Date: 04/24/2023
Medical Identifiers
Medical identifiers for Justin Herndon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1922755115 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 101Y00000X | Counselor | (* (Not Available)) | 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. Justin Herndon 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 |
|---|
Justin Herndon, LSWAIC
6400 Southcenter Blvd,
Tukwila, WA 98188-2547
Ph: (206) 901-2000 | Justin Herndon, LSWAIC
6400 Southcenter Blvd,
Tukwila, WA 98188-2547
Ph: (206) 901-2000 |
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