Provider Demographics
NPI:1689280554
Name:HANDLEY, ELIZABETH CADY YU LOUISE (LICSW)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:CADY YU LOUISE
Last Name:HANDLEY
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 1:2247 SE KELLY AVE
Mailing Address - Street 2:
Mailing Address - City:GRESHAM
Mailing Address - State:OR
Mailing Address - Zip Code:97080-5386
Mailing Address - Country:US
Mailing Address - Phone:360-441-0602
Mailing Address - Fax:
Practice Address - Street 1:2247 SE KELLY AVE
Practice Address - Street 2:
Practice Address - City:GRESHAM
Practice Address - State:OR
Practice Address - Zip Code:97080-5386
Practice Address - Country:US
Practice Address - Phone:206-647-1007
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-16
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW615866291041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical