Healthcare Provider Details

I. General information

NPI: 1295896348
Provider Name (Legal Business Name): YVONNE CATHARINA CAASI LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/13/2006
Last Update Date: 02/25/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9040 JACKSON DRIVE
TACOMA WA
98431
US

IV. Provider business mailing address

1815 188TH STREET CT E
SPANAWAY WA
98387-4134
US

V. Phone/Fax

Practice location:
  • Phone: 253-365-9110
  • Fax:
Mailing address:
  • Phone: 253-307-0733
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number26255
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: