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NPI Code Detail

MEDICARE: EVEREST JAY ALEXANDER MSW

MEDICARE: EVEREST JAY ALEXANDER MSW
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
1175T00000XPeer Specialist
2101Y00000XCounselor1609344258WA

General Provider Information

NPI Number : 1609344258
Entity Type Code : Individual
Provider Name (Legal Business Name) : EVEREST JAY ALEXANDER MSW
Provider Business Mailing Address
First Line : 27022 CARDIFF AVE
Second Line :
City : KENT
State : WA
Zip : 98032-7198
Country : US
Telephone Number : 206-638-0997
Fax Number :
Provider Business Practice Location Address
First Line : 6840 FORT DENT WAY STE 350
Second Line :
City : TUKWILA
State : WA
Zip : 98188-8512
Country : US
Telephone Number : 253-850-2500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/12/2018
Last Update Date : 07/09/2025

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