Provider Demographics
NPI:1447589031
Name:WEST, NANCY R (LCSW, LICSW)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:R
Last Name:WEST
Suffix:
Gender:F
Credentials:LCSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:720 SE 160TH AVE STE 103
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98684-8912
Mailing Address - Country:US
Mailing Address - Phone:623-980-0380
Mailing Address - Fax:
Practice Address - Street 1:720 SE 160TH AVE STE 103
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98684-8912
Practice Address - Country:US
Practice Address - Phone:623-980-0380
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-10
Last Update Date:2021-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No104100000XBehavioral Health & Social Service ProvidersSocial Worker