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NPI Code Detail

MEDICARE: STEVEN W PRATER LCSW

MEDICARE: STEVEN W PRATER 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 WorkerLW70075563WA
21041C0700XClinical Social Worker149.018327IL

General Provider Information

NPI Number : 1366920167
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEVEN W PRATER LCSW
Provider Business Mailing Address
First Line : 165 E HAWTHORNE AVE
Second Line :
City : COLVILLE
State : WA
Zip : 99114-2629
Country : US
Telephone Number : 509-684-4597
Fax Number : 509-684-5286
Provider Business Practice Location Address
First Line : 165 E HAWTHORNE AVE
Second Line :
City : COLVILLE
State : WA
Zip : 99114-2629
Country : US
Telephone Number : 509-684-4597
Fax Number : 509-684-5286
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2018
Last Update Date : 01/20/2026

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