Provider Demographics
NPI:1740606219
Name:WRIGHT, KATHARINE M (LICSW)
Entity Type:Individual
Prefix:
First Name:KATHARINE
Middle Name:M
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:445 SW 152ND ST
Mailing Address - Street 2:SUITE 204
Mailing Address - City:BURIEN
Mailing Address - State:WA
Mailing Address - Zip Code:98166-2208
Mailing Address - Country:US
Mailing Address - Phone:206-579-3926
Mailing Address - Fax:
Practice Address - Street 1:445 SW 152ND ST
Practice Address - Street 2:SUITE 204
Practice Address - City:BURIEN
Practice Address - State:WA
Practice Address - Zip Code:98166-2208
Practice Address - Country:US
Practice Address - Phone:206-579-3926
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-08
Last Update Date:2014-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW602735781041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical