Healthcare Provider Details

I. General information

NPI: 1124936992
Provider Name (Legal Business Name): DEBORAH W COLLINS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

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

III. Provider practice location address

12336 8TH AVE NE
SEATTLE WA
98125-4806
US

IV. Provider business mailing address

12336 8TH AVE NE
SEATTLE WA
98125-4806
US

V. Phone/Fax

Practice location:
  • Phone: 206-777-9114
  • Fax:
Mailing address:
  • Phone: 206-779-1145
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLW60604143
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: