Individual ProviderRoberta Susan JaffeSocial WorkerBehavioral Health & Social Service ProvidersPractice Address119 N Commercial St Ste 375, Bellingham, WA 98225-4467(360) 738-8806(360) 733-9458PECOS EnrollmentBased on the most recent information from CMS, provider Roberta Susan Jaffe does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1184726754Provider TypeIndividualFull NameJaffe, Roberta SusanCredentialACSW, BCD, LICSWGenderFemaleSole ProprietorYesEnumeration Date9/2/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address119 N Commercial St Ste 375, Bellingham, WA 98225-4467Phone(360) 738-8806Fax(775) 249-6907Mailing LocationMailing Address516 Clark Rd, Bellingham, WA 98225-7816Phone(360) 733-9458Fax(775) 249-6907Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseLW00005064Washington