Healthcare Provider Details

I. General information

NPI: 1508783325
Provider Name (Legal Business Name): TERI ARANA, LICSW, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 WINSLOW WAY W UNIT 360
BAINBRIDGE ISLAND WA
98110-4932
US

IV. Provider business mailing address

200 WINSLOW WAY W UNIT 360
BAINBRIDGE ISLAND WA
98110-4932
US

V. Phone/Fax

Practice location:
  • Phone: 949-690-9629
  • Fax:
Mailing address:
  • Phone: 949-690-9629
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: TERI ARANA
Title or Position: LICSW
Credential:
Phone: 949-690-9629