MEDICARE: RAIYA AL-ANSARI

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	1041C0700X	Clinical Social Worker	SWIA.SC.70038836	WA

General Provider Information

NPI Number	:	1588525778
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAIYA AL-ANSARI

Provider Business Mailing Address
First Line	:	2027 196TH ST SW STE A205
Second Line	:
City	:	LYNNWOOD
State	:	WA
Zip	:	98036-7073
Country	:	US
Telephone Number	:	425-541-7596
Fax Number	:

Provider Business Practice Location Address
First Line	:	2027 196TH ST SW STE A205
Second Line	:
City	:	LYNNWOOD
State	:	WA
Zip	:	98036-7073
Country	:	US
Telephone Number	:	425-541-7596
Fax Number	:

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

Provider Enumeration Date	:	11/19/2025
Last Update Date	:	03/28/2026

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Directions to “ RAIYA AL-ANSARI ” Practice Location

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