Healthcare Provider Details

I. General information

NPI: 1184050338
Provider Name (Legal Business Name): DANIEL ZAHN LICSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/19/2013
Last Update Date: 09/19/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2641 NW 60TH ST
SEATTLE WA
98107-3258
US

IV. Provider business mailing address

2641 NW 60TH ST
SEATTLE WA
98107-3258
US

V. Phone/Fax

Practice location:
  • Phone: 206-706-0409
  • Fax:
Mailing address:
  • Phone: 206-706-0409
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLW 00007304
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number292006D
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: