Female

Ms. Tasha L. Hansen MSW, LICSW

Clinical Social Worker in Ellensburg, WA(View on Map)

Full Name

Ms. Tasha L. Hansen MSW, LICSW

NPI Number

1457897498

NPI Type

Individual Provider

Gender

Female

Enumeration Date

01/14/2017

Specialties

(Taxonomies)

Code

1041C0700X
101YA0400X
171M00000X
101YM0800X
104100000X

Primary Taxonomy

Yes
No
No
No
No

Licenses

State

Washington
Washington
Washington
Washington

License Number

LW608835798
CO61459897
LW60835798
LH60738072

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 133
100 E JACKSON AVE STE 301

City

Ellensburg
Ellensburg

State

WA
WA

Postal Code

98926-1910
98926-3692

Country

US
US

Telephone Number

(509) 656-4517
(509) 933-8777

Identifiers

Identifier

2089116
8953970
2203415

Identifier State

WA
WA
WA

Identifier Issuer

Unknown
LABOR AND INDUSTRIES
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/02/2024

Provider Address

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