Regina A Blackwolf, MSW, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Everett, Washington. Her current practice location is
12812 3rd Ave Se Ste A, Everett, Washington. You can reach out to her office (for appointments etc.) via phone at
(206) 375-7657.
Regina A Blackwolf is licensed to practice in Washington (license number LW60083962) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1184777252.
Healthcare Provider's Profile
| Full Name | Regina A Blackwolf |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 12812 3rd Ave Se Ste A, Everett, Washington |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Regina A Blackwolf attended and graduated from in
NPI Data:
- NPI Number: 1184777252
- Provider Enumeration Date: 01/19/2007
- Last Update Date: 03/03/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Regina A Blackwolf such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1184777252 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CP00005962 (Washington) | Secondary |
| 1041C0700X | Social Worker - Clinical | LW60083962 (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. Regina A Blackwolf is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Regina A Blackwolf, MSW, LICSW
12812 3rd Ave Se Ste A,
Everett, WA 98208-6455
Ph: (206) 375-7657 | Regina A Blackwolf, MSW, LICSW
12812 3rd Ave Se Ste A,
Everett, WA 98208-6455
Ph: (206) 375-7657 |
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