MEDICARE: SABRINA WOON-CHEN 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	LW61015809	WA

General Provider Information

NPI Number	:	1255700407
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SABRINA WOON-CHEN LICSW

Provider Business Mailing Address
First Line	:	600 BROADWAY
Second Line	:	SUITE 170
City	:	SEATTLE
State	:	WA
Zip	:	98122-5395
Country	:	US
Telephone Number	:	206-302-2600
Fax Number	:	206-302-2610

Provider Business Practice Location Address
First Line	:	4860 RAINIER AVE S STE C
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98118-6305
Country	:	US
Telephone Number	:	206-414-9419
Fax Number	:

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

Provider Enumeration Date	:	09/17/2015
Last Update Date	:	02/10/2023

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