NPI 1609118124 · live from the CMS NPI Registry
Felicia Jean Ackerman, LICSW, SUDP
Social Worker, Clinical in Buckley, WA. National Provider Identifier 1609118124, active.
NPI record
| NPI | 1609118124 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 117 S Cedar St, Buckley, WA 98321 |
| Practice phone | 253-987-6799 |
| Mailing address | Po Box 260, Buckley, WA 98321 |
| Enumerated | March 22, 2013 |
| Last updated | April 7, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | CP60321390 (WA) |
| Social Worker, Clinical | 1041C0700X | SC60320701 (WA) |
| Social Worker, Clinical primary | 1041C0700X | LW60751695 (WA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.