Healthcare Provider Details

I. General information

NPI: 1902745391
Provider Name (Legal Business Name): MONRA DONALE MUSE LICSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/28/2026
Last Update Date: 03/28/2026
Certification Date: 03/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1455 NW LEARY WAY STE 400
SEATTLE WA
98107-5138
US

IV. Provider business mailing address

4911 N POST ST
SPOKANE WA
99205-5240
US

V. Phone/Fax

Practice location:
  • Phone: 509-481-1989
  • Fax:
Mailing address:
  • Phone: 509-481-1989
  • Fax: 509-481-1989

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSWI.LW.61080023
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: