MEDICARE: LINDSAY SARAH ATLAS MSW

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	104100000X	Social Worker	60296440	WA

General Provider Information

NPI Number	:	1780939900
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDSAY SARAH ATLAS MSW

Provider Business Mailing Address
First Line	:	810 12TH AVE
Second Line	:	#421
City	:	SEATTLE
State	:	WA
Zip	:	98122-4420
Country	:	US
Telephone Number	:	703-314-4348
Fax Number	:

Provider Business Practice Location Address
First Line	:	810 12TH AVE
Second Line	:	#421
City	:	SEATTLE
State	:	WA
Zip	:	98122-4420
Country	:	US
Telephone Number	:	703-314-4348
Fax Number	:

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

Provider Enumeration Date	:	07/14/2012
Last Update Date	:	07/14/2012

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