MEDICARE: SADIE TOWNSBY LICSWA

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	SWIA.SC.70022879	WA
2	101YM0800X	Mental Health Counselor	SWIA.SC.70022879	WA

General Provider Information

NPI Number	:	1942147723
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SADIE TOWNSBY LICSWA

Provider Business Mailing Address
First Line	:	PO BOX 28487
Second Line	:
City	:	BELLINGHAM
State	:	WA
Zip	:	98228-0487
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1430 N GARDEN ST
Second Line	:
City	:	BELLINGHAM
State	:	WA
Zip	:	98225-4507
Country	:	US
Telephone Number	:	360-671-7663
Fax Number	:

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

Provider Enumeration Date	:	04/30/2026
Last Update Date	:	05/21/2026

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