Provider Demographics
NPI:1740759935
Name:CALAWAY, COURTNEY CLARK-RIVERA (LICSW)
Entity type:Individual
Prefix:
First Name:COURTNEY
Middle Name:CLARK-RIVERA
Last Name:CALAWAY
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 1:9921 N NEVADA ST
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99218-1145
Mailing Address - Country:US
Mailing Address - Phone:509-581-2690
Mailing Address - Fax:
Practice Address - Street 1:9921 N NEVADA ST
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99218-1145
Practice Address - Country:US
Practice Address - Phone:509-581-2690
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-16
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61658103101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health