Healthcare Provider Details

I. General information

NPI: 1043037666
Provider Name (Legal Business Name): KOLE F SYLTE LMSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/24/2024
Last Update Date: 07/25/2025
Certification Date: 07/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1660 S COLUMBIAN WAY
SEATTLE WA
98108-1532
US

IV. Provider business mailing address

2401 HARRISON AVE UNIT 2
EVERETT WA
98201-3347
US

V. Phone/Fax

Practice location:
  • Phone: 425-203-7200
  • Fax:
Mailing address:
  • Phone: 425-530-8525
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number18034
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSC61557709
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: