| Bart Ozretich, Licsw | |
|
5425 Rainier Ave S Ste A Seattle WA 98118-2455 | |
| (650) 336-5384 | |
| (844) 787-9886 |
| Full Name | Bart Ozretich, Licsw |
|---|---|
| Speciality | Social Worker |
| Location | 5425 Rainier Ave S Ste A, Seattle, Washington |
| Authorized Official Name and Position | Bart Thomas Ozretich (OWNER/PROVIDER) |
| Authorized Official Contact | 6503365384 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bart Ozretich, Licsw 2806 E Denny Way Seattle WA 98122-3126 Ph: (206) 769-5685 | Bart Ozretich, Licsw 5425 Rainier Ave S Ste A Seattle WA 98118-2455 Ph: (650) 336-5384 |
| NPI Number | 1558803908 |
|---|---|
| Provider Enumeration Date | 11/15/2016 |
| Last Update Date | 01/30/2024 |
| Certification Date | 01/30/2024 |
| Medicare PECOS PAC ID | 5698055127 |
|---|---|
| Medicare Enrollment ID | O20161129001865 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558803908 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LW00009370 (Washington) | Primary |
| Provider Name | Bart T Ozretich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114104379 PECOS PAC ID: 2769606326 Enrollment ID: I20140623000148 |
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