Jeffery James Roskelley | Bellingham, WA • PECOS Search

Jeffery James Roskelley

Social Worker

Behavioral Health & Social Service Providers

1200 Harris Avenue, Suite 410, Bellingham, WA 98225

PECOS Enrollment

Based on the most recent information from CMS, provider Jeffery James Roskelley does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1558669564
Provider Type
Individual
Full Name
Roskelley, Jeffery James
Credential
LICSW

Gender
Male
Sole Proprietor
No
Enumeration Date
3/1/2011
Last Updated
12/8/2020

Contact Information

Practice Location

1200 Harris Avenue, Suite 410, Bellingham, WA 98225

Unlisted Fax

Mailing Location

1200 Harris Avenue, Suite 410, Bellingham, WA 98225

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License LW6019181 Washington