Provider Demographics
NPI:1316231343
Name:COEN, VICTORIA L (MSW, LICSW)
Entity Type:Individual
Prefix:MS
First Name:VICTORIA
Middle Name:L
Last Name:COEN
Suffix:
Gender:F
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5413 MERIDIAN AVE N
Mailing Address - Street 2:SUITE A
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-6168
Mailing Address - Country:US
Mailing Address - Phone:206-284-1435
Mailing Address - Fax:
Practice Address - Street 1:5413 MERIDIAN AVE N
Practice Address - Street 2:SUITE A
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-6168
Practice Address - Country:US
Practice Address - Phone:206-284-1435
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-07
Last Update Date:2011-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW000057881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical