DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: JACKILYN IMPER MSW

MEDICARE: JACKILYN IMPER 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
1101YP2500XProfessional Counselor
2104100000XSocial Worker
3101Y00000XCounselor
4101YM0800XMental Health CounselorLW61481125WA
51041C0700XClinical Social WorkerLW61481125WA

General Provider Information

NPI Number : 1811485311
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACKILYN IMPER MSW
Provider Business Mailing Address
First Line : 945 11TH AVE
Second Line :
City : LONGVIEW
State : WA
Zip : 98632-2555
Country : US
Telephone Number : 503-308-1161
Fax Number :
Provider Business Practice Location Address
First Line : 945 11TH AVE
Second Line :
City : LONGVIEW
State : WA
Zip : 98632-2555
Country : US
Telephone Number : 503-720-4706
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/30/2018
Last Update Date : 04/13/2026

Similar Medicare Providers

1306832274 — TINA M TAYLOR ARNP
Practice Location Address:
945 11TH AVE STE B
LONGVIEW, WA
98632-2555
Practice Phone: 360-414-8600
Practice Fax: 360-636-7372
1184726168 — MRS. CAROL SUE KIRCHER-SAMPSON OTR CHT
Practice Location Address:
945 11TH AVE , SUITE A
LONGVIEW, WA
98632-2555
Practice Phone: 360-577-1192
Practice Fax: 360-577-0519
1730285008 — DR. JAN GARY JOHNSON PH.D.
Practice Location Address:
945 11TH AVE , SUITE B
LONGVIEW, WA
98632-2555
Practice Phone: 360-414-8600
Practice Fax: 360-636-7372
1942306949 — DR. RANDALL DEAN HURST PSY.D.
Practice Location Address:
945 11TH AVE , SUITE B
LONGVIEW, WA
98632-2555
Practice Phone: 360-414-8600
Practice Fax: 360-636-7372
1215022546 — FRAN J SMITH MSW
Practice Location Address:
945 11TH AVE , SUITE B
LONGVIEW, WA
98632-2555
Practice Phone: 360-414-8600
Practice Fax: 360-636-7372
1811079049 — NORTHWEST PSYCHOLOGICAL RESOURCES LLC
Practice Location Address:
945 11TH AVE , SUITE B
LONGVIEW, WA
98632-2555
Practice Phone: 360-414-8600
Practice Fax: 360-636-7372

Directions to “ JACKILYN IMPER MSW” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.