Provider Demographics
NPI:1851680391
Name:REIMERS, KAY LOWSON (LICSW,)
Entity Type:Individual
Prefix:
First Name:KAY
Middle Name:LOWSON
Last Name:REIMERS
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 1:2919 127TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:LAKE STEVENS
Mailing Address - State:WA
Mailing Address - Zip Code:98258-8053
Mailing Address - Country:US
Mailing Address - Phone:425-737-8093
Mailing Address - Fax:
Practice Address - Street 1:805 164TH ST SE
Practice Address - Street 2:#102
Practice Address - City:MILL CREEK
Practice Address - State:WA
Practice Address - Zip Code:98012-6316
Practice Address - Country:US
Practice Address - Phone:425-737-8093
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-05
Last Update Date:2011-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW 60164788101YM0800X, 101YP2500X
WALW601647881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional