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NPI Code Detail

MEDICARE: MRS. KAY JORDAN ENGLISH MSW,LCSW

MEDICARE: MRS. KAY JORDAN ENGLISH MSW,LCSW
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
11041C0700XClinical Social WorkerLW00009657WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
130-0593478OTHERWATAX ID #

General Provider Information

NPI Number : 1730269457
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KAY JORDAN ENGLISH MSW,LCSW
Provider Business Mailing Address
First Line : 2926 28TH AVE W
Second Line :
City : SEATTLE
State : WA
Zip : 98199-2706
Country : US
Telephone Number : 206-300-9571
Fax Number :
Provider Business Practice Location Address
First Line : 511 28TH AVE E
Second Line :
City : SEATTLE
State : WA
Zip : 98112-4161
Country : US
Telephone Number : 206-300-9571
Fax Number : 206-282-4598
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2006
Last Update Date : 03/10/2017

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