Provider Demographics
NPI:1801446166
Name:WASHBURN, SEBASTIAN (LCSW)
Entity type:Individual
Prefix:MR
First Name:SEBASTIAN
Middle Name:
Last Name:WASHBURN
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2407 WAUGH DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77006-2507
Mailing Address - Country:US
Mailing Address - Phone:713-275-5000
Mailing Address - Fax:
Practice Address - Street 1:2407 WAUGH DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77006-2507
Practice Address - Country:US
Practice Address - Phone:713-275-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-18
Last Update Date:2022-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX68106104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker