MEDICARE: ZEVA NOVA ANDRIGNIS LICSW, SUDP

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
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	ACB-7431	CO
2	101YA0400X	Addiction (Substance Use Disorder) Counselor	CP60857864	WA
3	101YM0800X	Mental Health Counselor	CG60580923	WA
4	1041C0700X	Clinical Social Worker	LW60939952	WA

General Provider Information

NPI Number	:	1053656579
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZEVA NOVA ANDRIGNIS LICSW, SUDP

Provider Business Mailing Address
First Line	:	600 N 36TH ST STE 314
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98103-8698
Country	:	US
Telephone Number	:	206-761-0930
Fax Number	:

Provider Business Practice Location Address
First Line	:	600 N 36TH ST STE 314
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98103-8698
Country	:	US
Telephone Number	:	206-761-0930
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/10/2012
Last Update Date	:	06/28/2024

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Directions to “ ZEVA NOVA ANDRIGNIS LICSW, SUDP” Practice Location

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