Justin P Ibrahim, LICSW, MSW is a
Social Worker - Clinical based in Seattle, Washington. Justin P Ibrahim is licensed to practice in Washington (license number LW61533180) and his current practice location is
7216 S Ryan St, Seattle, Washington. He can be reached at his office (for appointments etc.) via phone at
(425) 477-9777.
NPI number for Justin P Ibrahim is 1861985418 and his current mailing address is 2501 Sw Trenton St # 1011, Seattle, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1861985418.
Healthcare Provider's Profile
Full Name | Justin P Ibrahim |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 7216 S Ryan St, Seattle, Washington |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1861985418
- Provider Enumeration Date: 06/08/2018
- Last Update Date: 07/24/2024
Medical Identifiers
Medical identifiers for Justin P Ibrahim such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861985418 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | SC61172478 (Washington) | Secondary |
1041C0700X | Social Worker - Clinical | LW61533180 (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. Justin P Ibrahim 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 P Ibrahim, LICSW, MSW 2501 Sw Trenton St # 1011, Seattle, WA 98106-3206 Ph: (425) 477-9777 | Justin P Ibrahim, LICSW, MSW 7216 S Ryan St, Seattle, WA 98178-2618 Ph: (425) 477-9777 |
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