Healthcare Provider Details

I. General information

NPI: 1336226562
Provider Name (Legal Business Name): ALISON HADLEY L.I.C.S.W./D.C.S.W.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 02/19/2021
Certification Date: 01/20/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

611 12TH AVE S
SEATTLE WA
98144-2007
US

IV. Provider business mailing address

772 POINT BROWN AVE SE
OCEAN SHORES WA
98569-9635
US

V. Phone/Fax

Practice location:
  • Phone: 206-324-9360
  • Fax:
Mailing address:
  • Phone: 509-481-5590
  • Fax: 360-233-4747

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLW60003644
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: