Provider Demographics
NPI:1508332123
Name:SAIDYBAH, ANGELA UNIQUE (MSW, LICSW)
Entity Type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:UNIQUE
Last Name:SAIDYBAH
Suffix:
Gender:F
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1066 S 320TH ST APT A407
Mailing Address - Street 2:
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98003-2003
Mailing Address - Country:US
Mailing Address - Phone:206-702-7622
Mailing Address - Fax:
Practice Address - Street 1:1066 S 320TH ST APT A407
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-2003
Practice Address - Country:US
Practice Address - Phone:206-858-2710
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-22
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
WALW612140021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselor