Healthcare Provider Details

I. General information

NPI: 1821201252
Provider Name (Legal Business Name): NANCY ADLER-JONES, MSW
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2007
Last Update Date: 04/24/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3101 OAKES AVE
EVERETT WA
98201-4405
US

IV. Provider business mailing address

3101 OAKES AVE
EVERETT WA
98201-4405
US

V. Phone/Fax

Practice location:
  • Phone: 425-948-4055
  • Fax:
Mailing address:
  • Phone: 425-948-4055
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLW00004257
License Number StateWA

VIII. Authorized Official

Name: NANCY ADLER-JONES
Title or Position: MSW
Credential:
Phone: 425-948-4055