JASON R ELLER LICSWA MSW NPI 1902685464

NPI Information

NPI: 1902685464
Provider Name: JASON R ELLER, LICSWA, MSW
Classification: Social Worker - 104100000X
Entity Type: Individual
Address:
4200 6TH AVE SE STE 201
LACEY, WA
ZIP 98503
Phone: (564) 669-0130
Get Directions

Jason R Eller, LICSWA, MSW is a social worker in Lacey, WA. 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. Jason R Eller, LICSWA, MSW NPI is 1902685464. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4200 6TH AVE SE STE 201
LACEY, WA
ZIP 98503-042
Phone: (564) 669-0130

The enumeration date for this NPI number is 9/25/2023 and was last updated on 9/25/2023.

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
1	101YM0800X	Counselor	Mental Health			No
2	104100000X	Social Worker		SC61356908	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	SC61356908	OTHER	WASHINGTON	WASHINGTON STATE DEPARTMENT OF HEALTH

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

NPI Synchronization or Removal

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