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NPI Code Detail

MEDICARE: AMY FOSSETT SYEN LCSW

MEDICARE: AMY FOSSETT SYEN LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerCSW005357GA
21041C0700XClinical Social WorkerSWI.LW.70047024WA

General Provider Information

NPI Number : 1043759889
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY FOSSETT SYEN LCSW
Provider Business Mailing Address
First Line : 500 COLUMBIA ST NW STE 102
Second Line :
City : OLYMPIA
State : WA
Zip : 98501-4447
Country : US
Telephone Number : 859-421-1164
Fax Number :
Provider Business Practice Location Address
First Line : 500 COLUMBIA ST NW STE 102
Second Line :
City : OLYMPIA
State : WA
Zip : 98501-4447
Country : US
Telephone Number : 859-421-1164
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2017
Last Update Date : 06/07/2026

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Directions to “ AMY FOSSETT SYEN LCSW” Practice Location

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