Healthcare Provider Details

I. General information

NPI: 1346718665
Provider Name (Legal Business Name): KELSEY HOWERTON MSW, LMHC-A
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KELSEY RATLIFF

II. Dates (important events)

Enumeration Date: 11/05/2018
Last Update Date: 07/01/2025
Certification Date: 07/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 S PROCTOR ST
TACOMA WA
98405-2047
US

IV. Provider business mailing address

737 FAWCETT AVE
TACOMA WA
98402-5503
US

V. Phone/Fax

Practice location:
  • Phone: 253-396-5937
  • Fax:
Mailing address:
  • Phone: 253-396-5937
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: