Provider Demographics
NPI:1912359878
Name:TREMAGLIO, JESSICA KING (LICSW, IMH-E III)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:KING
Last Name:TREMAGLIO
Suffix:
Gender:F
Credentials:LICSW, IMH-E III
Other - Prefix:
Other - First Name:JANAKI
Other - Middle Name:
Other - Last Name:TREMAGLIO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LICSW, IMH-E III
Mailing Address - Street 1:600 N 36TH ST STE 312
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-8698
Mailing Address - Country:US
Mailing Address - Phone:206-741-0150
Mailing Address - Fax:206-933-7101
Practice Address - Street 1:600 N 36TH ST STE 312
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-8698
Practice Address - Country:US
Practice Address - Phone:206-741-0150
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-05
Last Update Date:2020-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW609337561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical