Provider Demographics
NPI:1831106129
Name:KREAGER, DON LEE (LICSW)
Entity Type:Individual
Prefix:MR
First Name:DON
Middle Name:LEE
Last Name:KREAGER
Suffix:
Gender:M
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:PSC 10 BOX 424
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09142-0005
Mailing Address - Country:US
Mailing Address - Phone:253-590-0047
Mailing Address - Fax:
Practice Address - Street 1:MADIGAN ARMY MEDICAL CTR
Practice Address - Street 2:BLG 9905 ATTN: MCHJ-DSW/FAP
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98431-1100
Practice Address - Country:US
Practice Address - Phone:253-968-4172
Practice Address - Fax:253-968-4249
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2022-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW000063281041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
WALW00006328OtherWASHINGTON STATE DEPARTMENT OF HEALTH LICENSE