Provider Profile

Jewelya M. Ianniciello, SUDP, LICSW

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At a glance

About Jewelya Ianniciello

Jewelya M. Ianniciello, SUDP, LICSW is an addiction & substance abuse counselor based in Tacoma, WA. Jewelya is also listed as specializing in clinical social worker. The provider's National Provider Identifier (NPI) is 1891984498.

Factual summary compiled by Guide.md from public records; not written by this provider.

Credentials & Licensing

WA licenceAs reported to the NPI registry
No. LW60174863As reported
WA licenceAs reported to the NPI registry
No. CP00005115As reported
NPINational Provider Identifier
1891984498Issued 2007

As reported to the NPI registry ↗

Medicare information

Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What does Jewelya M. Ianniciello, SUDP specialize in?

Jewelya M. Ianniciello, SUDP is an addiction & substance abuse counselor in Tacoma, WA. That is the designation recorded for this NPI in the federal registry.

NPI registry

Where is Jewelya M. Ianniciello, SUDP located?

Jewelya M. Ianniciello, SUDP is listed at 5001 112Th St E, Tacoma, WA 98446. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Jewelya M. Ianniciello, SUDP's phone number?

The number on file is (253) 460-0062. Contact the office directly to confirm availability and scheduling.

NPI registry

What is Jewelya M. Ianniciello, SUDP's NPI number?

Jewelya M. Ianniciello, SUDP's National Provider Identifier is 1891984498. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

How long has Jewelya M. Ianniciello, SUDP been practicing?

Jewelya M. Ianniciello, SUDP has 19+ years experience. Registered with an NPI since 2007. National Provider Identifiers only began in 2005, so a provider who qualified earlier may have practiced for longer than this.

NPI registry

Has Jewelya M. Ianniciello, SUDP confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Jewelya M. Ianniciello, SUDP. If this is you, claiming it is free.

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