Jackilyn Imper, MSW is a
Social Worker - Clinical based in Longview, Washington. Jackilyn Imper is licensed to practice in Washington (license number LW61481125) and her current practice location is
945 11th Ave, Longview, Washington. She can be reached at her office (for appointments etc.) via phone at
(503) 720-4706.
NPI number for Jackilyn Imper is 1811485311 and her current mailing address is 107 Cimarron Dr, Kelso, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1811485311.
Healthcare Provider's Profile
| Full Name | Jackilyn Imper |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 945 11th Ave, Longview, Washington |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1811485311
- Provider Enumeration Date: 04/30/2018
- Last Update Date: 05/07/2024
Medical Identifiers
Medical identifiers for Jackilyn Imper such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811485311 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | LW61481125 (Washington) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | LW61481125 (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. Jackilyn Imper 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 |
|---|
Jackilyn Imper, MSW
107 Cimarron Dr,
Kelso, WA 98626-1956
Ph: (503) 720-4706 | Jackilyn Imper, MSW
945 11th Ave,
Longview, WA 98632-2555
Ph: (503) 720-4706 |
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