MEDICARE: DR. JEN M REICHENBACH SELF PHD LICSW

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	1041C0700X	Clinical Social Worker	LW60171267	WA

General Provider Information

NPI Number	:	1942747878
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEN M REICHENBACH SELF PHD LICSW

Provider Business Mailing Address
First Line	:	8856 13TH AVE SW
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98106-2439
Country	:	US
Telephone Number	:	206-949-8921
Fax Number	:

Provider Business Practice Location Address
First Line	:	8856 13TH AVE SW
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98106-2439
Country	:	US
Telephone Number	:	206-949-8921
Fax Number	:

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

Provider Enumeration Date	:	01/30/2017
Last Update Date	:	01/30/2017

Similar Medicare Providers

1427034727 — DR. SURESH T. MAXIMIN M.D.
Practice Location Address:

8631 FAUNTLEROY WAY SW
SEATTLE, WA
98136-2439

Practice Phone: 206-788-7998
Practice Fax:

1124100672 — PAUL LUU MD
Practice Location Address:

5420 RAINIER AVE SOUTH
SEATTLE, WA
98118-2439

Practice Phone: 206-723-2889
Practice Fax: 206-723-4939

1730042599 — HAYSSA MACEDO
Practice Location Address:

9045 16TH AVE SW
SEATTLE, WA
98106-2355

Practice Phone: 206-762-7207
Practice Fax: 206-971-5067

1720761109 — DENIESSE JOAQUIN
Practice Location Address:

9650 15TH AVE SW
SEATTLE, WA
98106-2576

Practice Phone: 206-965-1055
Practice Fax: 206-965-1032

1194728931 — DR. DOUGLAS PAUL WALSH DDS
Practice Location Address:

9801 17TH AVE SW
SEATTLE, WA
98106-2759

Practice Phone: 206-762-8433
Practice Fax: 206-767-5581

1962494070 — MINH VAN NGUYEN MD
Practice Location Address:

9431 17TH AVE SW
SEATTLE, WA
98106-2710

Practice Phone: 206-763-9621
Practice Fax: 206-767-6028

Directions to “ DR. JEN M REICHENBACH SELF PHD LICSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.