JEREMY RAE DEERHEIM MSW
NPI 1710454541
Social Worker in Deer Park, WA

Active since October 30, 2018PECOS EnrolledAccepts Medicare Assignment
401 S MAIN ST, DEER PARK, WA 99006(509) 444-8200 Get Directions Write a Review

NPPES record last updated: March 16, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 16, 2021, May 13, 2019, Oct 30, 2018 (3 updates tracked since 2018).

About Jeremy Rae Deerheim Msw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEREMY RAE DEERHEIM MSW (NPI 1710454541) is an individual social worker in Deer Park, Washington, licensed in Washington (LW60899726) and active in the NPI registry since October 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in Spokane, and is a graduate of University Of Washington School Of Medicine (2015).

NPPES Registry Identity

NPI1710454541
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameJEREMY RAE DEERHEIMCredential: MSW
Location Address401 S MAIN STDeer Park, WA 99006
Mailing Address611 N Iron Bridge WaySpokane, WA 99202-4932 · (509) 444-8888
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 2015
Enumeration DateOctober 30, 2018
Last NPPES UpdateMarch 16, 20213 updates tracked since enumeration
NPPES CertifiedMarch 16, 2021
NPI 1710454541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License Licensed in WA · LW60899726
Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License CP60420761 (WA)
401 S MAIN ST, Deer Park, WA 99006

Secondary Practice Location 1

Location 1107 S Division StSpokane, WA 99202-1510 · Phone (509) 838-4651

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jeremy Rae Deerheim Msw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002144755
PECOS Enrollment IDI20190820001871
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
401 S MAIN ST
DEER PARK, WA 99006
Nurse Practitioner (Psychiatric/Mental Health)
401 S MAIN ST
DEER PARK, WA 99006
Family Medicine
401 S MAIN ST
DEER PARK, WA 99006
Dental Hygienist
401 S MAIN ST
DEER PARK, WA 99006
Nurse Practitioner (Family)
401 S MAIN ST
DEER PARK, WA 99006
Nurse Practitioner (Psychiatric/Mental Health)
401 S MAIN ST
DEER PARK, WA 99006
Registered Nurse
401 S MAIN ST
DEER PARK, WA 99006
Dentist
401 S MAIN ST
DEER PARK, WA 99006

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeremy Deerheim's NPI number?

The NPI number for Jeremy Deerheim is 1710454541. It was assigned to this individual provider in the NPPES registry on October 30, 2018.

Where is Jeremy Deerheim located?

Jeremy Deerheim practices at 401 S Main St, Deer Park, WA 99006. The listed phone number is (509) 444-8200.

What is Jeremy Deerheim's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Jeremy Deerheim enrolled in Medicare?

Yes. Jeremy Deerheim is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jeremy Deerheim accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Jeremy Deerheim as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jeremy Deerheim was last updated on March 16, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.