| Provider / Organization | NPI | Date Certified |
|---|---|---|
| JENNIFER ROBYN RUGG | 1891835930 | 2023-12-20 |
Jennifer R Rugg [F] graduated in 2010 and primarily specializes in Clinical Social Worker.
Jennifer Robyn Rugg is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1891835930. Registration indicates Jennifer Robyn Rugg is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Social Worker (Behavioral Health & Social Service Providers, Social Worker) (Social Worker: Clinical, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Social Worker Clinical, Behavioral Health & Social Service Providers) (Social Worker, ) Access to Mental Health/Behavioral Health Providers (Behavioral Health & Social Service Providers, Social Worker) (Behavioral Health & Social Service Providers, Social Worker) (Social Worker, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Social Worker, Behavioral Health & Social Service Providers)
| PECOS ID | 5496060774 |
| Registration | PART-B:Y DME:Y HHA:N PMD:N |
| Entity Type | Individual |
| Provider Name | Jennifer Robyn Rugg LICSW |
| Practice Office Address | 4526 FEDERAL AVE EVERETT, WA US |
| Practice Office Telephone | 4253498359 |
| Practice Office Fax | 4253498496 |
| Mailing Address | 4526 FEDERAL AVE EVERETT, WA 982032132 US |
| Business Telephone | 4253496200 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 918 Madison St | Everett, WA 982034542 | 4253558668 / 4253474188 |
| Code | Practice | License No State |
|---|---|---|
| 1041C0700X | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Social Worker Behavioral Health & Social Service Providers Social Worker Social Worker: Clinical Behavioral Health/Substance Abuse/Psychiatry Social Worker Clinical Behavioral Health & Social Service Providers Social Worker | 60469377
WA |
| 104100000X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Social Worker Behavioral Health & Social Service Providers Social Worker Social Worker Behavioral Health/Substance Abuse/Psychiatry Social Worker Behavioral Health & Social Service Providers | LW604469377
WA |