Provider Demographics
NPI:1558887331
Name:LASSMAN, HANNAH LEAH (LICSW)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:LEAH
Last Name:LASSMAN
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 1:2617B NW 57TH ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98107-3246
Mailing Address - Country:US
Mailing Address - Phone:206-790-0552
Mailing Address - Fax:
Practice Address - Street 1:2617B NW 57TH ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98107-3246
Practice Address - Country:US
Practice Address - Phone:206-790-0552
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-14
Last Update Date:2017-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA607074731041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical