MEDICARE: STEPHANIE L BECKER LICSW

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
1	1041C0700X	Clinical Social Worker	LW70002185	WA

General Provider Information

NPI Number	:	1124790530
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE L BECKER LICSW

Provider Business Mailing Address
First Line	:	7553 28TH AVE NW
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98117-4537
Country	:	US
Telephone Number	:	412-508-1286
Fax Number	:

Provider Business Practice Location Address
First Line	:	7553 28TH AVE NW
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98117-4537
Country	:	US
Telephone Number	:	206-659-1624
Fax Number	:	206-971-9532

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/04/2021
Last Update Date	:	08/27/2025

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