Provider Demographics
NPI:1497199905
Name:PARGAS, JOE (LICSW)
Entity Type:Individual
Prefix:
First Name:JOE
Middle Name:
Last Name:PARGAS
Suffix:
Gender:M
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:PO BOX 4158
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98057-4158
Mailing Address - Country:US
Mailing Address - Phone:425-255-5526
Mailing Address - Fax:425-255-5523
Practice Address - Street 1:140 RAINIER AVE S
Practice Address - Street 2:SUITE 3
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98057-2000
Practice Address - Country:US
Practice Address - Phone:425-255-5526
Practice Address - Fax:425-255-5523
Is Sole Proprietor?:No
Enumeration Date:2013-04-26
Last Update Date:2013-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR17491041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical