Provider Demographics
NPI:1104229707
Name:SCHMOKER, ALICIA (MSW)
Entity type:Individual
Prefix:
First Name:ALICIA
Middle Name:
Last Name:SCHMOKER
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33305 1ST WAY S
Mailing Address - Street 2:SUITE# B203
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98003-6235
Mailing Address - Country:US
Mailing Address - Phone:253-235-5956
Mailing Address - Fax:253-235-5957
Practice Address - Street 1:10740 MERIDIAN AVE N
Practice Address - Street 2:SUITE 102
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98133-9010
Practice Address - Country:US
Practice Address - Phone:206-466-5649
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-27
Last Update Date:2014-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WASC604878421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical