Provider Demographics
NPI:1255888673
Name:STRAND, EILA (LICSW)
Entity type:Individual
Prefix:
First Name:EILA
Middle Name:
Last Name:STRAND
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:PETER
Other - Middle Name:
Other - Last Name:STRAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1119A STURGUS AVE S
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98144-2711
Mailing Address - Country:US
Mailing Address - Phone:206-586-8433
Mailing Address - Fax:
Practice Address - Street 1:1119A STURGUS AVE S
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98144-2711
Practice Address - Country:US
Practice Address - Phone:206-586-8433
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-01
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA606879711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA60687971OtherWA DEPT OF HEALTH