Provider Demographics
NPI:1942293816
Name:ADLER-JONES, NANCY ANN (MSW)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:ANN
Last Name:ADLER-JONES
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 1:21321 65TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:WOODINVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98072-8353
Mailing Address - Country:US
Mailing Address - Phone:425-948-4055
Mailing Address - Fax:425-948-4055
Practice Address - Street 1:21321 65TH AVE SE
Practice Address - Street 2:
Practice Address - City:WOODINVILLE
Practice Address - State:WA
Practice Address - Zip Code:98072-8353
Practice Address - Country:US
Practice Address - Phone:425-948-4055
Practice Address - Fax:425-948-4055
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-25
Last Update Date:2016-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW000042571041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA115000874Medicare PIN