Social Work Link, Professional Limited Liability Company | |
5025 W Clearwater Ave Ste B Kennewick WA 99336-1911 | |
(509) 308-1756 | |
Not Available |
Full Name | Social Work Link, Professional Limited Liability Company |
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Speciality | Community/Behavioral Health |
Location | 5025 W Clearwater Ave Ste B, Kennewick, Washington |
Authorized Official Name and Position | Tera Bell (OWNER) |
Authorized Official Contact | 5093081756 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Social Work Link, Professional Limited Liability Company 5025 W Clearwater Ave Ste B Kennewick WA 99336-1911 Ph: (509) 308-1756 | Social Work Link, Professional Limited Liability Company 5025 W Clearwater Ave Ste B Kennewick WA 99336-1911 Ph: (509) 308-1756 |
NPI Number | 1992295174 |
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Provider Enumeration Date | 05/14/2018 |
Last Update Date | 02/24/2021 |
Certification Date | 02/24/2021 |
Medicare PECOS PAC ID | 2365797131 |
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Medicare Enrollment ID | O20180619001788 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992295174 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | LW60698194 (Washington) | Primary |
Provider Name | Tera A Bell |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1952816647 PECOS PAC ID: 3274888045 Enrollment ID: I20180712000786 |
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