MEDICARE: JULIE ELIZABETH MYERS 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	LW00005058	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	446098001	OTHER	WA	GROUP HEALTH
2	DI0119	OTHER	WA	REGENCE BLUE SHIELD

General Provider Information

NPI Number	:	1548378185
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE ELIZABETH MYERS LICSW

Provider Business Mailing Address
First Line	:	2111 N NORTHGATE WAY
Second Line	:	SUITE 217
City	:	SEATTLE
State	:	WA
Zip	:	98133-9018
Country	:	US
Telephone Number	:	206-363-8194
Fax Number	:	206-257-0488

Provider Business Practice Location Address
First Line	:	2111 N NORTHGATE WAY
Second Line	:	SUITE 217
City	:	SEATTLE
State	:	WA
Zip	:	98133-9018
Country	:	US
Telephone Number	:	206-363-8194
Fax Number	:	206-257-0488

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

Provider Enumeration Date	:	08/25/2006
Last Update Date	:	01/12/2010

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