Provider Demographics
NPI:1831823517
Name:DUTTCHOUDHURY, APARAJEETA (MSW)
Entity type:Individual
Prefix:
First Name:APARAJEETA
Middle Name:
Last Name:DUTTCHOUDHURY
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:SASHA
Other - Middle Name:
Other - Last Name:DUTTCHOUDHURY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:12345 LAKE CITY WAY NE # 2198
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98125-5401
Mailing Address - Country:US
Mailing Address - Phone:425-539-0840
Mailing Address - Fax:
Practice Address - Street 1:14015 24TH AVE NE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98125-3401
Practice Address - Country:US
Practice Address - Phone:425-539-0840
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-10
Last Update Date:2022-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA612779801041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical