Provider Demographics
NPI:1811295025
Name:ASEFAW, TASHAU CHERAE (MSW)
Entity type:Individual
Prefix:MRS
First Name:TASHAU
Middle Name:CHERAE
Last Name:ASEFAW
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MISS
Other - First Name:TASHAU
Other - Middle Name:CHERAE
Other - Last Name:JACKSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:13110 NE 177TH PL
Mailing Address - Street 2:STE B101-BOX 434
Mailing Address - City:WOODINVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98072
Mailing Address - Country:US
Mailing Address - Phone:206-337-7007
Mailing Address - Fax:
Practice Address - Street 1:15600 REDMOND WAY STE 101
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98052-3862
Practice Address - Country:US
Practice Address - Phone:206-337-7007
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-11
Last Update Date:2019-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WASC601603571041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical