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NPI Code Detail

MEDICARE: KELSEY KRAFT MSW

MEDICARE: KELSEY KRAFT MSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor
2101Y00000XCounselor
3171M00000XCase Manager/Care Coordinator
4104100000XSocial WorkerLW70030522WA

General Provider Information

NPI Number : 1104495852
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELSEY KRAFT MSW
Provider Business Mailing Address
First Line : 8801 14TH AVE S
Second Line :
City : SEATTLE
State : WA
Zip : 98108-4809
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8801 14TH AVE S
Second Line :
City : SEATTLE
State : WA
Zip : 98108-4809
Country : US
Telephone Number : 206-766-6976
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2021
Last Update Date : 02/20/2026

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