MEDICARE: MS. ELEANOR M ULIBARRI LISCW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	61064713	WA

General Provider Information

NPI Number	:	1447237136
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ELEANOR M ULIBARRI LISCW

Provider Business Mailing Address
First Line	:	820 N CHELAN AVE
Second Line	:
City	:	WENATCHEE
State	:	WA
Zip	:	98801-2028
Country	:	US
Telephone Number	:	509-663-8711
Fax Number	:

Provider Business Practice Location Address
First Line	:	630 N CHELAN AVE STE A7
Second Line	:
City	:	WENATCHEE
State	:	WA
Zip	:	98801-6622
Country	:	US
Telephone Number	:	509-663-8711
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/23/2005
Last Update Date	:	05/20/2026

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