Provider Demographics
NPI:1326760752
Name:STRAND, KATHY ANN (LICSW)
Entity Type:Individual
Prefix:MS
First Name:KATHY
Middle Name:ANN
Last Name:STRAND
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 1:6707 34TH PL S
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98118-6453
Mailing Address - Country:US
Mailing Address - Phone:206-280-3490
Mailing Address - Fax:
Practice Address - Street 1:6707 34TH PL S
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98118-6453
Practice Address - Country:US
Practice Address - Phone:206-280-3490
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-13
Last Update Date:2022-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW610270811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical