Provider Demographics
NPI:1568586683
Name:POOL, ELAINE W (MSW)
Entity Type:Individual
Prefix:
First Name:ELAINE
Middle Name:W
Last Name:POOL
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18334 NE 199TH PL
Mailing Address - Street 2:
Mailing Address - City:WOODINVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98077-8291
Mailing Address - Country:US
Mailing Address - Phone:425-788-0519
Mailing Address - Fax:
Practice Address - Street 1:18500 156TH AVE NE
Practice Address - Street 2:SUITE 202
Practice Address - City:WOODINVILLE
Practice Address - State:WA
Practice Address - Zip Code:98072-4459
Practice Address - Country:US
Practice Address - Phone:425-788-6626
Practice Address - Fax:425-481-2157
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW000050471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical