Provider Demographics
NPI:1649932617
Name:HYLTON, LADAWNTA LEVETTE SHERRIE (MSW, LSWAIC)
Entity type:Individual
Prefix:
First Name:LADAWNTA
Middle Name:LEVETTE SHERRIE
Last Name:HYLTON
Suffix:
Gender:F
Credentials:MSW, LSWAIC
Other - Prefix:
Other - First Name:DAWN
Other - Middle Name:
Other - Last Name:HYLTON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW, LSWAIC
Mailing Address - Street 1:25818 BATES WALK SW # 14
Mailing Address - Street 2:
Mailing Address - City:VASHON
Mailing Address - State:WA
Mailing Address - Zip Code:98070-7704
Mailing Address - Country:US
Mailing Address - Phone:206-491-8828
Mailing Address - Fax:
Practice Address - Street 1:25818 BATES WALK SW # 14
Practice Address - Street 2:
Practice Address - City:VASHON
Practice Address - State:WA
Practice Address - Zip Code:98070-7704
Practice Address - Country:US
Practice Address - Phone:206-491-8828
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-07
Last Update Date:2024-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0171281041C0700X
WA614065301041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA87-1246863OtherSTATE