Healthcare Provider Details

I. General information

NPI: 1356743355
Provider Name (Legal Business Name): NATASHA BREIDENBACH LSWAIC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2014
Last Update Date: 10/06/2025
Certification Date: 10/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1930 POST ALY
SEATTLE WA
98101-1074
US

IV. Provider business mailing address

1200 12TH AVE S STE 901
SEATTLE WA
98144-2712
US

V. Phone/Fax

Practice location:
  • Phone: 206-728-4143
  • Fax: 206-956-1018
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLW61595469
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: