Provider Demographics
NPI:1679682041
Name:WASHINGTON, GOLDIE ELIZABETH (LICSW, MSW)
Entity Type:Individual
Prefix:MS
First Name:GOLDIE
Middle Name:ELIZABETH
Last Name:WASHINGTON
Suffix:
Gender:F
Credentials:LICSW, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:VAMC
Mailing Address - Street 2:1660 SOUTH COLUMBIAN WAY
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98108-1597
Mailing Address - Country:US
Mailing Address - Phone:206-764-2717
Mailing Address - Fax:206-764-2209
Practice Address - Street 1:VAMC
Practice Address - Street 2:1660 SOUTH COLUMBIAN WAY
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98108-1597
Practice Address - Country:US
Practice Address - Phone:206-764-2717
Practice Address - Fax:206-764-2209
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW000078441041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical