Provider Demographics
NPI:1629033071
Name:DAWS, RAETTA PLASTER (MSW, LICSW)
Entity Type:Individual
Prefix:MRS
First Name:RAETTA
Middle Name:PLASTER
Last Name:DAWS
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 1:10810 NORTHSTAR WAY SW
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98498-3024
Mailing Address - Country:US
Mailing Address - Phone:253-830-4020
Mailing Address - Fax:
Practice Address - Street 1:10810 NORTHSTAR WAY SW
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:WA
Practice Address - Zip Code:98498-3024
Practice Address - Country:US
Practice Address - Phone:253-830-4020
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-19
Last Update Date:2018-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW000044801041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical