Healthcare Provider Details

I. General information

NPI: 1134057474
Provider Name (Legal Business Name): ALEXIS ARLENE HEITMAN MSW, LSWAIC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/08/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2727 W ROWAN AVE
SPOKANE WA
99205-5835
US

IV. Provider business mailing address

1111 3RD AVE STE 400
SEATTLE WA
98101-3207
US

V. Phone/Fax

Practice location:
  • Phone: 253-397-5182
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSC61686132
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: