Provider Demographics
NPI:1750050043
Name:LEINN, KATHRYN F (LICSW)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:F
Last Name:LEINN
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 1:358 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WAKEFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01880-5050
Mailing Address - Country:US
Mailing Address - Phone:781-254-6579
Mailing Address - Fax:
Practice Address - Street 1:2100 24TH AVE S STE 360
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98144-4646
Practice Address - Country:US
Practice Address - Phone:206-303-9588
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-09
Last Update Date:2021-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW605920471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical