Healthcare Provider Details

I. General information

NPI: 1952619702
Provider Name (Legal Business Name): ASA CHEN MSW, LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/15/2010
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 5TH AVE
SEATTLE WA
98104-2332
US

IV. Provider business mailing address

500 5TH AVE
SEATTLE WA
98104-2332
US

V. Phone/Fax

Practice location:
  • Phone: 206-296-1091
  • Fax:
Mailing address:
  • Phone: 206-296-1091
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberADD14083
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW28720
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLG50079113
License Number StateDC
# 4
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLW61622138
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: