|
| |
|
5425 Rainier Ave S Ste A Seattle WA 98118-2455 | |
| (206) 309-5096 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Social Worker |
| 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 | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
5425 Rainiver Ave S Suite A Seattle WA 98118 Ph: (206) 245-3756 | 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 |
| Medicare PECOS PAC ID | 6800135005 |
|---|---|
| Medicare Enrollment ID | O20241015003552 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407371966 | NPI | - | NPPES |
| 604153055 | Other | WA | WASHINGTON DOR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LW00009717 (Washington) | Primary |
| Provider Name | Edgar Hernandez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760589766 PECOS PAC ID: 2062751274 Enrollment ID: I20190318000631 |
Frederick B Davis Md Ps Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7319 Latona Ave Ne, Seattle, WA 98115 Phone: 206-525-1898 Fax: 206-729-0564 | |
Winther Clinical Social Work Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3925 Sw 107th St, Seattle, WA 98146 Phone: 206-218-8303 | |
Rehabilitation & Evaluation Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 226 Summit Ave E, Seattle, WA 98102 Phone: 206-322-2900 | |
New Horizons Mental Health Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12531 27th Ave Ne, Seattle, WA 98125 Phone: 210-669-3776 | |
Brown Sugar Health Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7500 Banner Way Ne, Seattle, WA 98115 Phone: 318-642-4909 |