Healthcare Provider Details

I. General information

NPI: 1982900726
Provider Name (Legal Business Name): DANIELLE CHRISTINE BEMIS BA, MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DANIELLE CHRISTINE CHARD

II. Dates (important events)

Enumeration Date: 01/26/2011
Last Update Date: 04/19/2022
Certification Date: 04/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 9TH AVE
SEATTLE WA
98101-2756
US

IV. Provider business mailing address

1100 9TH AVE M4-PFS
SEATTLE WA
98101
US

V. Phone/Fax

Practice location:
  • Phone: 206-561-2958
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateMT
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateAK
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLW61120290
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: