MEDICARE: COUNTY OF SKAGIT

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	1041C0700X	Clinical Social Worker
2	101YA0400X	Addiction (Substance Use Disorder) Counselor
3	171M00000X	Case Manager/Care Coordinator
4	101YM0800X	Mental Health Counselor
5	101YP2500X	Professional Counselor
6	261QP2400X	Prison Health Clinic/Center

General Provider Information

NPI Number	:	1144166901
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COUNTY OF SKAGIT

Provider Business Mailing Address
First Line	:	201 SUZANNE LN
Second Line	:
City	:	MOUNT VERNON
State	:	WA
Zip	:	98273-9514
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	201 SUZANNE LN
Second Line	:
City	:	MOUNT VERNON
State	:	WA
Zip	:	98273-9514
Country	:	US
Telephone Number	:	360-416-1965
Fax Number	:

Authorized Official
Title or Position	:	CORRECTIONAL HEALTH PROGRAM MANAGER
Name	:	MR. KUMARAN KONESWARAN
Credential	:	MPH
Telephone Number	:	360-416-1965

Provider Enumeration Date	:	04/24/2026
Last Update Date	:	05/18/2026

Similar Medicare Providers

1306579669 — MRS. ABIGAIL ABERILLA TULLIUS NP
Practice Location Address:

201 SUZANNE LN
MOUNT VERNON, WA
98273-9514

Practice Phone: 360-416-1960
Practice Fax:

1548126030 — RAYLENE YOUNG RN
Practice Location Address:

201 SUZANNE LN
MOUNT VERNON, WA
98273-9514

Practice Phone: 360-416-1960
Practice Fax: 360-639-1440

1831924794 — PAIGE LEIGH HAUTER PA
Practice Location Address:

1400 N LAVENTURE RD
MOUNT VERNON, WA
98273-2766

Practice Phone: 605-428-9003
Practice Fax: 360-542-8296

1457354896 — MRS. LESLIE A. ESTEP MD
Practice Location Address:

227 FREEWAY DRIVE , SUITE A
MOUNT VERNON, WA
98273

Practice Phone: 360-814-5550
Practice Fax: 360-814-5591

1639172935 — LUCIA C MULLER M.D.
Practice Location Address:

205 W STEWART RD STE 104
MOUNT VERNON, WA
98273-9607

Practice Phone: 360-395-2938
Practice Fax: 360-714-3147

1801899182 — MRS. JENNIFER KOOIKER BENSON MD
Practice Location Address:

110 N LAVENTURE RD STE C
MOUNT VERNON, WA
98273-3901

Practice Phone: 360-399-7700
Practice Fax: 360-899-4534

Directions to “COUNTY OF SKAGIT ” Practice Location

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