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NPI Code Detail

MEDICARE: MICHELLE SUMMER IGAZ LICSW

MEDICARE: MICHELLE SUMMER IGAZ 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
11041C0700XClinical Social WorkerLW60320543WA

General Provider Information

NPI Number : 1972461002
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE SUMMER IGAZ LICSW
Provider Business Mailing Address
First Line : 1200 12TH AVE S STE 901
Second Line :
City : SEATTLE
State : WA
Zip : 98144-2712
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1418 NW 65TH ST
Second Line :
City : SEATTLE
State : WA
Zip : 98117-5237
Country : US
Telephone Number : 206-548-5850
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2026
Last Update Date : 01/15/2026

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Directions to “ MICHELLE SUMMER IGAZ LICSW” Practice Location

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