Healthcare Provider Details

I. General information

NPI: 1295331148
Provider Name (Legal Business Name): CARMEN MARISSA NAVARRETE MSW, LSWAIC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/07/2020
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1014 WALLA WALLA AVE
WENATCHEE WA
98801-1523
US

IV. Provider business mailing address

1014 WALLA WALLA AVE
WENATCHEE WA
98801-1523
US

V. Phone/Fax

Practice location:
  • Phone: 509-663-0034
  • Fax:
Mailing address:
  • Phone: 509-663-0034
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSC61094228
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: