Provider Demographics
NPI:1114302874
Name:BUFFINGTON, KATE (MSW, LAICSW, LMP)
Entity Type:Individual
Prefix:
First Name:KATE
Middle Name:
Last Name:BUFFINGTON
Suffix:
Gender:F
Credentials:MSW, LAICSW, LMP
Other - Prefix:
Other - First Name:KATE
Other - Middle Name:
Other - Last Name:BATEMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMP
Mailing Address - Street 1:749 N 59TH AVE
Mailing Address - Street 2:
Mailing Address - City:WEST RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99353-9742
Mailing Address - Country:US
Mailing Address - Phone:509-460-0854
Mailing Address - Fax:
Practice Address - Street 1:400 COLUMBIA POINT DR STE 201-B
Practice Address - Street 2:
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352
Practice Address - Country:US
Practice Address - Phone:509-460-0854
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-23
Last Update Date:2018-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00018659225700000X
WASC606159481041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist