Healthcare Provider Details

I. General information

NPI: 1518514645
Provider Name (Legal Business Name): ELISHA ASANA GEERS LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/22/2019
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2611 NE 125TH ST STE 240
SEATTLE WA
98125-4357
US

IV. Provider business mailing address

2611 NE 125TH ST STE 240
SEATTLE WA
98125-4357
US

V. Phone/Fax

Practice location:
  • Phone: 206-385-8727
  • Fax: 206-385-9544
Mailing address:
  • Phone:
  • Fax: 206-385-9544

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberSC60979782
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLW61356222
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: