Connecting For Clarity, Pllc | |
14535 Ne Bel Red Rd Ste 202 Bellevue WA 98007-3907 | |
(425) 589-2526 | |
Not Available |
Full Name | Connecting For Clarity, Pllc |
---|---|
Speciality | Social Worker |
Location | 14535 Ne Bel Red Rd Ste 202, Bellevue, Washington |
Authorized Official Name and Position | Katherine Crouch (OWNER/PSYCHOTHERAPIST) |
Authorized Official Contact | 4255892526 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Connecting For Clarity, Pllc 9725 Se 36th St Ste 403 Mercer Island WA 98040-3840 Ph: (425) 589-2526 | Connecting For Clarity, Pllc 14535 Ne Bel Red Rd Ste 202 Bellevue WA 98007-3907 Ph: (425) 589-2526 |
NPI Number | 1417435975 |
---|---|
Provider Enumeration Date | 08/06/2018 |
Last Update Date | 04/28/2020 |
Certification Date | 04/28/2020 |
Medicare PECOS PAC ID | 1951645381 |
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Medicare Enrollment ID | O20181211003617 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417435975 | NPI | - | NPPES |
60613010 | Other | WA | LICSW |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 60613010 (Washington) | Primary |
Provider Name | Katherine Crouch |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1801384862 PECOS PAC ID: 3779827100 Enrollment ID: I20190115001809 |
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