Provider Demographics
NPI:1851561609
Name:KONO, MICHIKO (LICSW)
Entity Type:Individual
Prefix:
First Name:MICHIKO
Middle Name:
Last Name:KONO
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:PO BOX 31745
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-1745
Mailing Address - Country:US
Mailing Address - Phone:206-487-6365
Mailing Address - Fax:
Practice Address - Street 1:19101 36TH AVE W STE 207
Practice Address - Street 2:
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98036-5759
Practice Address - Country:US
Practice Address - Phone:206-487-6365
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-07
Last Update Date:2018-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW000078331041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical