Jayme Dee Fergoda in Bellingham - Clinical
Jayme Dee Fergoda - NPI 1083882112
Jayme Dee Fergoda is a Clinical in Bellingham, Washington. Jayme Dee Fergoda practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jayme Dee Fergoda is 1083882112. The last update date is 2014-08-28.
Jayme Dee Fergoda's current location address is 1313 E. Maple Street, Bellingham, Washington. You can contact this provider via phone number 3606854224 and fax number 3606854222. The mailing address for Jayme Dee Fergoda is 1313 E. Maple Street, Bellingham, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jayme Dee Fergoda |
|---|---|
| Address | 1313 E. Maple Street, Bellingham, Washington |
| Phone Number | 3606854224 |
| Fax Number | 3606854222 |
| Sole Proprietor | Y |
| Credentials | PH.D., LIC |
NPI Number Detail
| NPI Number | 1083882112 |
|---|---|
| Provider Enumeration Date | 2008-02-12 |
| Last Updated Date | 2014-08-28 |
Provider Mailing Address Detail
| Address | 1313 E. Maple Street |
|---|---|
| City | Bellingham |
| State | Washington (WA) |
| Post Code | 98225 |
| Phone Number | 3606854224 |
| Fax Number | 3606854222 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LW00005651 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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What is the unique identification code assigned to Jayme Dee Fergoda by the Centers for Medicare & Medicaid Services?
The Jayme Dee Fergoda has been issued the NPI (National Provider Identifier) 1083882112. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Jayme Dee Fergoda is physically located?
The Jayme Dee Fergoda is physically situated at the following address: 1313 E. Maple Street, Bellingham, WA, 98225.
What is the Jayme Dee Fergoda's specialty and taxonomy code?
The Jayme Dee Fergoda's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1083882112 to Jayme Dee Fergoda?
The Centers for Medicare & Medicaid Services originally issued the 1083882112 to Jayme Dee Fergoda on 2008-02-12.
When was the Jayme Dee Fergoda's information last updated?
The Jayme Dee Fergoda's information was last updated on 2014-08-28.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY