Healthcare Provider Details

I. General information

NPI: 1407416126
Provider Name (Legal Business Name): KIANA HARLAN LCSW, LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/14/2019
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1909 214TH ST SE STE 110
BOTHELL WA
98021-4412
US

IV. Provider business mailing address

1909 214TH ST SE STE 110
BOTHELL WA
98021-4412
US

V. Phone/Fax

Practice location:
  • Phone: 425-488-4974
  • Fax:
Mailing address:
  • Phone: 425-488-4974
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0904015676
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberP013578
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCSW.09928363
License Number StateCO
# 4
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSWI.LW.70001854
License Number StateWA
# 5
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberLCAS-26619
License Number StateNC
# 6
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberTPSW3180
License Number StateFL
# 7
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberC014597
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: