Provider Demographics
NPI:1265646962
Name:JUDY VOLMERT, MSW LISW
Entity Type:Organization
Organization Name:JUDY VOLMERT, MSW LISW
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEATLH THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:VOLMERT
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:425-953-4360
Mailing Address - Street 1:PO BOX 1625
Mailing Address - Street 2:
Mailing Address - City:SNOHOMISH
Mailing Address - State:WA
Mailing Address - Zip Code:98291-1625
Mailing Address - Country:US
Mailing Address - Phone:425-953-4360
Mailing Address - Fax:425-953-4360
Practice Address - Street 1:1002 10TH ST
Practice Address - Street 2:
Practice Address - City:SNOHOMISH
Practice Address - State:WA
Practice Address - Zip Code:98290-2024
Practice Address - Country:US
Practice Address - Phone:425-953-4360
Practice Address - Fax:425-953-4360
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW000044851041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA5918674OtherAETNA
VAR-88431OtherREGENCE BLUE SHIELD
PR130289129078OtherPREMERA BLUE CROSS