Provider Demographics
NPI:1326309527
Name:MCKINNEY, ERIN UEDA (LICSW)
Entity Type:Individual
Prefix:MS
First Name:ERIN
Middle Name:UEDA
Last Name:MCKINNEY
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 DAYTON ST STE 127
Mailing Address - Street 2:
Mailing Address - City:EDMONDS
Mailing Address - State:WA
Mailing Address - Zip Code:98020-3590
Mailing Address - Country:US
Mailing Address - Phone:206-745-2110
Mailing Address - Fax:
Practice Address - Street 1:320 DAYTON ST STE 127
Practice Address - Street 2:
Practice Address - City:EDMONDS
Practice Address - State:WA
Practice Address - Zip Code:98020-3590
Practice Address - Country:US
Practice Address - Phone:206-745-2110
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-04
Last Update Date:2022-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW600999941041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical