Healthcare Provider Details

I. General information

NPI: 1124785811
Provider Name (Legal Business Name): ALICIA ESKEW MA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/17/2021
Last Update Date: 11/17/2021
Certification Date: 11/17/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3516 S 47TH ST STE 203
TACOMA WA
98409-4475
US

IV. Provider business mailing address

4708 30TH AVE NE
TACOMA WA
98422-2085
US

V. Phone/Fax

Practice location:
  • Phone: 253-572-7888
  • Fax: 253-572-7727
Mailing address:
  • Phone: 253-632-6058
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253J00000X
TaxonomyFoster Care Agency
License NumberCG61142352
License Number StateWA
# 4
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberCG61142352
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: