Provider Demographics
NPI:1205631033
Name:MCGRUE, COURTNEY (LICSW)
Entity type:Individual
Prefix:
First Name:COURTNEY
Middle Name:
Last Name:MCGRUE
Suffix:
Gender:
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:720 N 10TH ST STE A346
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98057-5683
Mailing Address - Country:US
Mailing Address - Phone:206-627-0393
Mailing Address - Fax:
Practice Address - Street 1:720 N 10TH ST STE A346
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98057-5683
Practice Address - Country:US
Practice Address - Phone:206-627-0393
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-17
Last Update Date:2025-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW611056451041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical