| Edgar Hernandez, Licsw | |
|
5425 Rainier Ave S Ste A Seattle WA 98118-2455 | |
| (206) 309-5096 | |
| Not Available |
| Full Name | Edgar Hernandez, Licsw |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 5425 Rainier Ave S Ste A, Seattle, Washington |
| Authorized Official Name and Position | Edgar A Hernandez Garcia (LICSW) |
| Authorized Official Contact | 2062453756 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edgar Hernandez, Licsw 5425 Rainiver Ave S Suite A Seattle WA 98118 Ph: (206) 245-3756 | Edgar Hernandez, Licsw 5425 Rainier Ave S Ste A Seattle WA 98118-2455 Ph: (206) 309-5096 |
| NPI Number | 1407371966 |
|---|---|
| Provider Enumeration Date | 08/07/2017 |
| Last Update Date | 09/04/2024 |
| Certification Date | 09/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407371966 | NPI | - | NPPES |
| 604153055 | Other | WA | WASHINGTON DOR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LW00009717 (Washington) | Primary |
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