Provider Demographics
NPI:1750836110
Name:SPOKUS, LEANN (MSW, MHP, CMHS)
Entity Type:Individual
Prefix:MRS
First Name:LEANN
Middle Name:
Last Name:SPOKUS
Suffix:
Gender:F
Credentials:MSW, MHP, CMHS
Other - Prefix:
Other - First Name:LEANN
Other - Middle Name:
Other - Last Name:AXLEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW, MHP, CMHS
Mailing Address - Street 1:14307 15TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:SHORELINE
Mailing Address - State:WA
Mailing Address - Zip Code:98155
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:11000 LAKE CITY WAY NE
Practice Address - Street 2:SUITE 2
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98125-6748
Practice Address - Country:US
Practice Address - Phone:206-619-5451
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-15
Last Update Date:2019-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No104100000XBehavioral Health & Social Service ProvidersSocial Worker