Sara M Ellingson in Kennewick - Clinical

Sara M Ellingson - NPI 1316098551

Sara M Ellingson is a Clinical in Kennewick, Washington. Sara M Ellingson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Sara M Ellingson is 1316098551. The last update date is 2020-08-06.

Sara M Ellingson's current location address is 401 N Morain St, Kennewick, Washington. You can contact this provider via phone number 5097351838 and fax number 5097833526. The mailing address for Sara M Ellingson is 401 N Morain St, Kennewick, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Sara M Ellingson
Address 401 N Morain St, Kennewick, Washington
Phone Number 5097351838
Fax Number 5097833526
Sole Proprietor Y
Credentials LICSW LMHC

NPI Number Detail

NPI Number 1316098551
Provider Enumeration Date 2007-01-15
Last Updated Date 2020-08-06

Provider Mailing Address Detail

Address 401 N Morain St
City Kennewick
State Washington (WA)
Post Code 993362639
Phone Number 5097351838
Fax Number 5097833526

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
P00062532 WA RAILROAD MEDICARE

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FAQs about Sara M Ellingson

What is the Sara M Ellingson's unique identification number?

The Sara M Ellingson has been assigned the NPI (National Provider Identifier) Number 1316098551 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete address where Sara M Ellingson is physically located?

The Sara M Ellingson is situated at the following address: 401 N Morain St, Kennewick, WA 993362639.

What is Sara M Ellingson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Sara M Ellingson's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.

On what date did the Centers for Medicare & Medicaid Services issue the 1316098551 to Sara M Ellingson?

The Sara M Ellingson received its 1316098551 assignment from the Centers for Medicare & Medicaid Services on 2007-01-15.

When was the information regarding Sara M Ellingson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Sara M Ellingson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-06.

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