Provider Demographics
NPI:1386814036
Name:HARVEY, MAX (LICSW, CADC III)
Entity Type:Individual
Prefix:MR
First Name:MAX
Middle Name:
Last Name:HARVEY
Suffix:
Gender:M
Credentials:LICSW, CADC III
Other - Prefix:MR
Other - First Name:MAX
Other - Middle Name:
Other - Last Name:HORN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW, CADC I
Mailing Address - Street 1:NW SOCIAL WORK SERVICES
Mailing Address - Street 2:2114 MAIN ST. #100198
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98660
Mailing Address - Country:US
Mailing Address - Phone:360-450-4058
Mailing Address - Fax:360-450-4572
Practice Address - Street 1:NW SOCIAL WORK SERVICES
Practice Address - Street 2:2114 MAIN ST. #100198
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98660
Practice Address - Country:US
Practice Address - Phone:360-450-4058
Practice Address - Fax:360-450-4572
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-10
Last Update Date:2020-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker