Provider Demographics
NPI:1578554721
Name:VOLMERT, JUDY MARIE (MSW)
Entity Type:Individual
Prefix:
First Name:JUDY
Middle Name:MARIE
Last Name:VOLMERT
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: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
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW000044851041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA130289129078OtherPREMERA BLUE CROSS
WA5918674OtherAETNA ID #
WAR-88431OtherREGENCE BLUE SHIELD