Healthcare Provider Details

I. General information

NPI: 1902432974
Provider Name (Legal Business Name): CARSON HOHE LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2020
Last Update Date: 08/11/2022
Certification Date: 01/24/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 N HOWARD ST
SPOKANE WA
99201
US

IV. Provider business mailing address

901 BOREN AVE STE 1800
SEATTLE WA
98104-3544
US

V. Phone/Fax

Practice location:
  • Phone: 425-276-1822
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLW61303923
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: