Healthcare Provider Details

I. General information

NPI: 1407466170
Provider Name (Legal Business Name): CHISATO HORIKAWA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/06/2020
Last Update Date: 10/22/2025
Certification Date: 10/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14004 20TH PL W
LYNNWOOD WA
98087-2061
US

IV. Provider business mailing address

14004 20TH PL W
LYNNWOOD WA
98087-2061
US

V. Phone/Fax

Practice location:
  • Phone: 206-801-0334
  • Fax:
Mailing address:
  • Phone: 206-801-0334
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLW61471018
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: