Provider Demographics
NPI:1346742814
Name:PARTIN FALKE, HILLERY BROOK (MSW, LICSW)
Entity Type:Individual
Prefix:
First Name:HILLERY
Middle Name:BROOK
Last Name:PARTIN FALKE
Suffix:
Gender:F
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:BROOK
Other - Middle Name:
Other - Last Name:PARTIN FALKE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW, LICSW
Mailing Address - Street 1:3579 E. HARBOR ROAD
Mailing Address - Street 2:
Mailing Address - City:LANGLEY
Mailing Address - State:WA
Mailing Address - Zip Code:98260
Mailing Address - Country:US
Mailing Address - Phone:913-244-0388
Mailing Address - Fax:
Practice Address - Street 1:5611 BAYVIEW RD
Practice Address - Street 2:
Practice Address - City:LANGLEY
Practice Address - State:WA
Practice Address - Zip Code:98260-9735
Practice Address - Country:US
Practice Address - Phone:360-682-7353
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-01
Last Update Date:2020-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW609624701041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical