Provider Demographics
NPI:1720711583
Name:DANA KAHN LICSW
Entity Type:Organization
Organization Name:DANA KAHN LICSW
Other - Org Name:DANA KAHN PSYCHOTHERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PROVIDER/SOLE OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANA
Authorized Official - Middle Name:
Authorized Official - Last Name:KAHN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-852-5074
Mailing Address - Street 1:4860 RAINIER AVE S STE C
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98118-6305
Mailing Address - Country:US
Mailing Address - Phone:206-316-1812
Mailing Address - Fax:
Practice Address - Street 1:4860 RAINIER AVE S STE C
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98118-6305
Practice Address - Country:US
Practice Address - Phone:206-316-1812
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-07
Last Update Date:2022-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty