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NPI Code Detail

MEDICARE: MR. BOHDAN HRYNEWYCH LCSW

MEDICARE:  MR. BOHDAN  HRYNEWYCH  LCSW
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
1104100000XSocial WorkerC000410NC
21041C0700XClinical Social WorkerLW61406378WA

General Provider Information

NPI Number : 1265453427
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. BOHDAN HRYNEWYCH LCSW
Provider Business Mailing Address
First Line : 21907 64TH AVE W STE 200
Second Line :
City : MOUNTLAKE TERRACE
State : WA
Zip : 98043-6200
Country : US
Telephone Number : 425-640-7009
Fax Number : 425-640-9600
Provider Business Practice Location Address
First Line : 21907 64TH AVE W STE 200
Second Line :
City : MOUNTLAKE TERRACE
State : WA
Zip : 98043-6200
Country : US
Telephone Number : 425-640-7009
Fax Number : 425-640-9600
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2006
Last Update Date : 04/28/2025

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Directions to “ MR. BOHDAN HRYNEWYCH LCSW” Practice Location

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