Healthcare Provider Details

I. General information

NPI: 1275451114
Provider Name (Legal Business Name): CLEOPATRA H ELRASHIDY MSW, LSWAIC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22232 17TH AVE SE STE 312
BOTHELL WA
98021-7425
US

IV. Provider business mailing address

22232 17TH AVE SE
BOTHELL WA
98021-7430
US

V. Phone/Fax

Practice location:
  • Phone: 425-842-3910
  • Fax:
Mailing address:
  • Phone: 425-842-3910
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSWIA.SC.70135029
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: