MEDICARE: TORY B GILDRED 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	101YA0400X	Addiction (Substance Use Disorder) Counselor	CP00006246	WA
2	1041C0700X	Clinical Social Worker	LW60179615	WA

General Provider Information

NPI Number	:	1528675147
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TORY B GILDRED LICSW

Provider Business Mailing Address
First Line	:	4328 BAKER AVE NW
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98107-4349
Country	:	US
Telephone Number	:	858-829-1899
Fax Number	:

Provider Business Practice Location Address
First Line	:	4328 BAKER AVE NW
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98107-4349
Country	:	US
Telephone Number	:	858-829-1899
Fax Number	:

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

Provider Enumeration Date	:	09/28/2020
Last Update Date	:	09/28/2020

Similar Medicare Providers

1902189475 — LAUREL SUE LUM MA
Practice Location Address:

4312 BAKER AVE NW
SEATTLE, WA
98107-4349

Practice Phone: 206-931-5673
Practice Fax:

1295570935 — PAULINE CHARDOUL SUTTER COTA
Practice Location Address:

5010 SW HUDSON ST
SEATTLE, WA
98116-4349

Practice Phone: 206-930-5537
Practice Fax:

1487742466 — MR. AON BARRINGTON BARRETT JR. PT
Practice Location Address:

1448 NW MARKET ST
SEATTLE, WA
98107-3743

Practice Phone: 206-860-2210
Practice Fax:

1245411834 — JAYNE DUBOIS ND
Practice Location Address:

5470 SHILSHOLE AVE NW STE 405
SEATTLE, WA
98107-4040

Practice Phone: 206-705-9508
Practice Fax: 866-651-1958

1215387345 — DR. KYLE JORDAN M.D.
Practice Location Address:

5201 BALLARD AVE NW FL 2
SEATTLE, WA
98107-4806

Practice Phone: 888-663-6331
Practice Fax: 415-252-7176

1922931450 — MUSUBI PT LLC
Practice Location Address:

4027 LEARY WAY NW
SEATTLE, WA
98107-5045

Practice Phone: 808-345-5493
Practice Fax:

Directions to “ TORY B GILDRED LICSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.