Individual ProviderBrian K HallSocial WorkerBehavioral Health & Social Service ProvidersPractice Address811 Madison St, Everett, WA 98203-4543(425) 212-4200PECOS EnrollmentBased on the most recent information from CMS, provider Brian K Hall 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 3 days ago.Profile DetailsProvider ID1386780823Provider TypeIndividualFull NameHall, Brian KCredentialMSW CDPGenderMaleSole ProprietorNoEnumeration Date1/30/2007Last Updated9/8/2014Contact InformationPractice LocationPractice Address811 Madison St, Everett, WA 98203-4543Phone(425) 212-4200Fax(425) 212-4240Mailing LocationMailing AddressPO Box 2569, Everett, WA 98213-0569Phone(425) 212-4200FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseSC 60202576WashingtonCode101YA0400XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseCP00005232Washington