Provider Demographics
NPI:1063033678
Name:BRICKELL, KATE (LCISWA)
Entity Type:Individual
Prefix:
First Name:KATE
Middle Name:
Last Name:BRICKELL
Suffix:
Gender:F
Credentials:LCISWA
Other - Prefix:
Other - First Name:KATE
Other - Middle Name:ASHTON
Other - Last Name:WILHITE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2524 16TH AVE S # 305
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98144-5104
Mailing Address - Country:US
Mailing Address - Phone:206-617-8131
Mailing Address - Fax:
Practice Address - Street 1:2524 16TH AVE S # 305
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98144-5104
Practice Address - Country:US
Practice Address - Phone:206-617-8131
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-05
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WASC608363261041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical