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JEREMY RAE DEERHEIM MSW NPI 1710454541


NPI Information

NPI: 1710454541
Provider Name: JEREMY RAE DEERHEIM, MSW
Classification: Social Worker - 104100000X
Entity Type: Individual

PECOS Registration: Yes

Address:
401 S MAIN ST
DEER PARK, WA
ZIP 99006
Phone: (509) 444-8200
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Jeremy Rae Deerheim, MSW is a social worker in Deer Park, WA with 9 years of experience. The provider is a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. Jeremy Rae Deerheim, MSW NPI is 1710454541. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduation Year:2015

The provider's business location address is:

401 S MAIN ST
DEER PARK, WA
ZIP 99006
Phone: (509) 444-8200

The NPI 1710454541 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 10/30/2018 and was last updated on 3/16/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)CP60420761WASHINGTONNo
2104100000XSocial WorkerLW60899726WASHINGTONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.