Provider Demographics
NPI:1942354352
Name:WEST-IVARSON, KARIN LEE (LICSW)
Entity Type:Individual
Prefix:MS
First Name:KARIN
Middle Name:LEE
Last Name:WEST-IVARSON
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 1:7202 NE HIGHWAY 99 STE 106-299
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98665-8932
Mailing Address - Country:US
Mailing Address - Phone:509-551-1813
Mailing Address - Fax:360-571-7084
Practice Address - Street 1:7202 NE HIGHWAY 99 STE 106-299
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98665-8932
Practice Address - Country:US
Practice Address - Phone:509-551-1813
Practice Address - Fax:360-571-7084
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-22
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW000082761041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical