Provider Demographics
NPI:1295950582
Name:SLINGERLAND, JERE' L (MSW)
Entity type:Individual
Prefix:
First Name:JERE'
Middle Name:L
Last Name:SLINGERLAND
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:536 BUTTE AVE
Mailing Address - Street 2:
Mailing Address - City:PACIFIC
Mailing Address - State:WA
Mailing Address - Zip Code:98047-1413
Mailing Address - Country:US
Mailing Address - Phone:253-638-8730
Mailing Address - Fax:
Practice Address - Street 1:536 BUTTE AVE
Practice Address - Street 2:
Practice Address - City:PACIFIC
Practice Address - State:WA
Practice Address - Zip Code:98047-1413
Practice Address - Country:US
Practice Address - Phone:253-638-8730
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-13
Last Update Date:2023-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA000055761041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
WASL3994OtherREGENCE
WASL3994OtherREGENCE