Provider Demographics
NPI:1609519362
Name:GIMNESS, ASHER M (LICSW)
Entity Type:Individual
Prefix:MR
First Name:ASHER
Middle Name:M
Last Name:GIMNESS
Suffix:
Gender:M
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2224 ELIZABETH ST
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-2828
Mailing Address - Country:US
Mailing Address - Phone:206-769-2025
Mailing Address - Fax:
Practice Address - Street 1:2224 ELIZABETH ST
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-2828
Practice Address - Country:US
Practice Address - Phone:206-769-2025
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-19
Last Update Date:2022-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW610501631041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical