Healthcare Provider Details

I. General information

NPI: 1649887506
Provider Name (Legal Business Name): CAROLINE D BICKFORD MSW, LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CAROLINE BICKFORD MSW, LICSW

II. Dates (important events)

Enumeration Date: 09/25/2020
Last Update Date: 08/16/2026
Certification Date: 08/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

323 E 2ND AVE STE 201
SPOKANE WA
99202-1455
US

IV. Provider business mailing address

400 S JEFFERSON ST STE 100
SPOKANE WA
99204-3142
US

V. Phone/Fax

Practice location:
  • Phone: 509-903-5453
  • Fax:
Mailing address:
  • Phone: 509-844-7338
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSWI.LW.70068306
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: