Healthcare Provider Details

I. General information

NPI: 1588128334
Provider Name (Legal Business Name): ELIZABETH F.O. MCKEE LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/25/2019
Last Update Date: 01/25/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1909 214TH ST SE STE 204
BOTHELL WA
98021-4415
US

IV. Provider business mailing address

2402 NW 195TH PL
SHORELINE WA
98177-2932
US

V. Phone/Fax

Practice location:
  • Phone: 206-364-3777
  • Fax: 206-364-3999
Mailing address:
  • Phone: 206-364-3777
  • Fax: 206-364-3999

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLW60354155
License Number StateWA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: