MEDICARE: JAMIE KATZ

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	LH60230107	WA

General Provider Information

NPI Number	:	1932523099
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMIE KATZ

Provider Business Mailing Address
First Line	:	3622 13TH AVE S
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98144-7308
Country	:	US
Telephone Number	:	206-819-1472
Fax Number	:

Provider Business Practice Location Address
First Line	:	1127 10TH AVE E
Second Line	:	SUITE #3
City	:	SEATTLE
State	:	WA
Zip	:	98102-4377
Country	:	US
Telephone Number	:	206-819-1472
Fax Number	:

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

Provider Enumeration Date	:	02/10/2014
Last Update Date	:	02/10/2014

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Directions to “ JAMIE KATZ ” Practice Location

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