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DP

Daniel Patel

Auth Received
TR-2026-016 · DOB 1980-12-30
Date Created
2026-01-20
Assigned GOALS Case Manager
Marcus Holt
Assigned Assessor
Nadia Osei
ProviderOne ID
144588041WA
Medicaid Eligibility
Verified
WLP Status
Verified
Current Outside Agency
Snohomish Employment Partners
Transferring Programs
Employment
Service County
Snohomish
Service City
Everett

Program Transfer Summary

ProgramCurrent AgencyRouteAuthorization StatusGOALS Program Status
EmploymentSnohomish Employment PartnersTransfer to GOALSAuthorizedActive

Client Information

Preferred Name
—
Date of Birth
1980-12-30
ProviderOne ID
144588041WA
Primary Phone
(425) 555-0157
Secondary Phone
—
Email
daniel.patel@example.com
Address
2204 Colby Ave, Everett, WA 98201
Service County
Snohomish
Service City
Everett
Preferred Contact
Email
Preferred Language
English
Intake Source
Transfer-In

Current Agency and Provider

Agency
Snohomish Employment Partners
Agency Contact
Renee Walsh
Agency Phone
(425) 555-0174
Agency Email
renee.walsh@snoemploymentpartners.example.com
Current Provider
Renee Walsh
Provider Phone
(425) 555-0174
Provider Email
renee.walsh@snoemploymentpartners.example.com
Transfer Request Date
2026-01-20
Transfer Reason
Client requested transfer of Employment services to GOALS Everett.
Additional Notes
—

GOALS Assignment

Case Manager
Marcus Holt
Assigned Assessor
Nadia Osei
Supervisor
Rachel Kim
GOALS Service County
Snohomish
GOALS Service City
Everett
Expected Transfer Date
2026-02-01
Internal Notes
—