Provider Demographics
NPI:1003346701
Name:D'ABREAU, DERRICK (LICSW)
Entity type:Individual
Prefix:
First Name:DERRICK
Middle Name:
Last Name:D'ABREAU
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 1:21905 MOUNTAIN HWY E
Mailing Address - Street 2:
Mailing Address - City:SPANAWAY
Mailing Address - State:WA
Mailing Address - Zip Code:98387-8570
Mailing Address - Country:US
Mailing Address - Phone:425-272-5986
Mailing Address - Fax:253-342-4036
Practice Address - Street 1:PO BOX 4092
Practice Address - Street 2:
Practice Address - City:SPANAWAY
Practice Address - State:WA
Practice Address - Zip Code:98387-4006
Practice Address - Country:US
Practice Address - Phone:425-272-5986
Practice Address - Fax:253-352-4036
Is Sole Proprietor?:No
Enumeration Date:2017-06-14
Last Update Date:2025-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW611699871041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical