Healthcare Provider Details

I. General information

NPI: 1932355898
Provider Name (Legal Business Name): SHERYL ELISE BEGOUN LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/12/2008
Last Update Date: 08/12/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 16TH AVE
SEATTLE WA
98122-4011
US

IV. Provider business mailing address

6343 52ND AVE S
SEATTLE WA
98118-2913
US

V. Phone/Fax

Practice location:
  • Phone: 206-861-3164
  • Fax: 206-461-3696
Mailing address:
  • Phone: 206-723-9629
  • Fax: 206-260-2992

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLW00007822
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: