Bonita Shuffain Siegel in Lake Forest Park - Clinical
Bonita Shuffain Siegel - NPI 1629050745
Bonita Shuffain Siegel is a Clinical in Lake Forest Park, Washington. Bonita Shuffain Siegel practices all healthcare services and medical treatments related to Clinical. The NPI Number for Bonita Shuffain Siegel is 1629050745. The last update date is 2007-07-08.
Bonita Shuffain Siegel's current location address is 15029 Bothell Way Ne, Lake Forest Park, Washington. You can contact this provider via phone number 2063640075 and fax number 2063647607. The mailing address for Bonita Shuffain Siegel is 15029 Bothell Way Ne, Lake Forest Park, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bonita Shuffain Siegel |
|---|---|
| Address | 15029 Bothell Way Ne, Lake Forest Park, Washington |
| Phone Number | 2063640075 |
| Fax Number | 2063647607 |
| Sole Proprietor | X |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1629050745 |
|---|---|
| Provider Enumeration Date | 2005-11-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 15029 Bothell Way Ne |
|---|---|
| City | Lake Forest Park |
| State | Washington (WA) |
| Post Code | 981557663 |
| Phone Number | 2063640075 |
| Fax Number | 2063647607 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| LW00004023 | WA | SOCIAL WORKER LICENSE # |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Bonita Shuffain Siegel by the Centers for Medicare & Medicaid Services?
The Bonita Shuffain Siegel has been assigned the NPI (National Provider Identifier) 1629050745 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Bonita Shuffain Siegel?
The Bonita Shuffain Siegel is situated at 15029 Bothell Way Ne, in the city of Lake Forest Park, state of WA, with the zip code 981557663.
What is Bonita Shuffain Siegel's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Bonita Shuffain Siegel is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
When did the Bonita Shuffain Siegel receive its 1629050745?
The Bonita Shuffain Siegel was issued its 1629050745 on 2005-11-15, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Bonita Shuffain Siegel most recently updated or revised?
The information pertaining to Bonita Shuffain Siegel, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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