Provider Demographics
NPI:1336226562
Name:HADLEY, ALISON (LICSW/DCSW)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:
Last Name:HADLEY
Suffix:
Gender:F
Credentials:LICSW/DCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:772 POINT BROWN AVE SE
Mailing Address - Street 2:
Mailing Address - City:OCEAN SHORES
Mailing Address - State:WA
Mailing Address - Zip Code:98569-9635
Mailing Address - Country:US
Mailing Address - Phone:509-481-5590
Mailing Address - Fax:360-233-4747
Practice Address - Street 1:611 12TH AVE S
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98144-2007
Practice Address - Country:US
Practice Address - Phone:206-324-9360
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2021-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW600036441041C0700X
104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
134874OtherMANAGED HEALTH NTWK
881491779OtherNATIONAL ASSOC. OF SW
WA891-6333OtherCRIME VICTIM'S COMPENS.