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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JEREMY RAE DEERHEIM, MSW

Active

JEREMY RAE DEERHEIM, MSW is a Social Worker healthcare provider located in DEER PARK, Washington. NPI 1710454541 is currently active in the NPPES registry. Verify at CMS.

Social Worker · DEER PARK, WA

Registration Details

NPI Number
1710454541
Provider Type
Individual
Gender
Male
NPI Issued
Oct 30, 2018 (7.8332981771322 yrs)
Last Updated
Mar 16, 2021
Licenses
CP60420761 (WA)
LW60899726 (WA)

Practice Information

Address
401 S MAIN ST
DEER PARK, WA, 99006
Browse WA providers · Browse ZIP 99006
Phone
5094448200
Primary Specialty
Social Worker
104100000X
Additional Specialty
Social Worker
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.