Provider Demographics
NPI:1336285303
Name:DARNER, KATHRYN E (LICSW)
Entity Type:Individual
Prefix:MRS
First Name:KATHRYN
Middle Name:E
Last Name:DARNER
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 1:1424 4TH AVE
Mailing Address - Street 2:SUITE 931
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98101-2297
Mailing Address - Country:US
Mailing Address - Phone:206-621-0153
Mailing Address - Fax:
Practice Address - Street 1:1424 4TH AVE
Practice Address - Street 2:SUITE 931
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98101-2297
Practice Address - Country:US
Practice Address - Phone:206-621-0153
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW000047041041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical