1497228209 NPI number — LAURIE A SIROTKIN MSW LICSW PLLC

Table of content: (NPI 1598238412)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1497228209 NPI number — LAURIE A SIROTKIN MSW LICSW PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LAURIE A SIROTKIN MSW LICSW PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1497228209
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/01/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 15178
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MILL CREEK
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98082-3178
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
888-365-3637
Provider Business Mailing Address Fax Number:
425-483-1841

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
19101 36TH AVE W STE 208
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LYNNWOOD
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98036-5759
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
888-365-3637
Provider Business Practice Location Address Fax Number:
425-483-1841
Provider Enumeration Date:
01/03/2019

Additional Information

Authorized Official

Authorized Official Last Name:
SIROTKIN
Authorized Official First Name:
LAURIE
Authorized Official Middle Name:
Authorized Official Title or Position:
PROVIDER
Authorized Official Telephone Number:
888-365-3637

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 2040618 , issued by the state of ( WA ) . This identifiers is of the category "MEDICAID".




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