Search › Washington › 101YA0400X
Jewelya Ianniciello, SUDP, LICSW
NPI 1891984498 · on the registry since 2007 · sole proprietor
Practice
- Address
- 5001 112th St E
Tacoma, WA 98446 - Phone
- (253) 460-0062
- Organisation at this address
- Prosperity Counseling & Treatment Svcs
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 12
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Also registered as
- 1041C0700X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-01-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington