Provider Demographics
NPI:1508077827
Name:RISA-DRAVES, BILLIE (LICSW)
Entity Type:Individual
Prefix:MS
First Name:BILLIE
Middle Name:
Last Name:RISA-DRAVES
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 1:4875 LAKESIDE DR
Mailing Address - Street 2:
Mailing Address - City:LANGLEY
Mailing Address - State:WA
Mailing Address - Zip Code:98260-8258
Mailing Address - Country:US
Mailing Address - Phone:206-914-7817
Mailing Address - Fax:
Practice Address - Street 1:6790 SILLS RD
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:WA
Practice Address - Zip Code:98236-8507
Practice Address - Country:US
Practice Address - Phone:360-579-0826
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-25
Last Update Date:2022-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW000064111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical