Healthcare Provider Details

I. General information

NPI: 1114854163
Provider Name (Legal Business Name): ANDRIENE STERLINGTON LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12564 12TH AVE NW
SEATTLE WA
98177-4321
US

IV. Provider business mailing address

12564 12TH AVE NW
SEATTLE WA
98177-4321
US

V. Phone/Fax

Practice location:
  • Phone: 253-549-6374
  • Fax:
Mailing address:
  • Phone: 899-425-1070
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSWI.LW.61653710
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: