Provider Demographics
NPI:1598911661
Name:HAUGE, WINONA D (MSW,)
Entity Type:Individual
Prefix:MRS
First Name:WINONA
Middle Name:D
Last Name:HAUGE
Suffix:
Gender:F
Credentials:MSW,
Other - Prefix:MRS
Other - First Name:WINONA
Other - Middle Name:HOLLINS-
Other - Last Name:HAUGE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:901 BOREN AVE
Mailing Address - Street 2:1010
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-3595
Mailing Address - Country:US
Mailing Address - Phone:206-625-9475
Mailing Address - Fax:206-624-1856
Practice Address - Street 1:17747 17TH AVE NW
Practice Address - Street 2:
Practice Address - City:SHORELINE
Practice Address - State:WA
Practice Address - Zip Code:98177-3311
Practice Address - Country:US
Practice Address - Phone:206-546-1767
Practice Address - Fax:206-546-1767
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-08
Last Update Date:2008-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW000051621041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical