Provider Demographics
NPI:1104507367
Name:BARNETT-KERN, ZACHARY (LICSWA)
Entity type:Individual
Prefix:
First Name:ZACHARY
Middle Name:
Last Name:BARNETT-KERN
Suffix:
Gender:
Credentials:LICSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4745 40TH AVE SW APT 710
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98116-4631
Mailing Address - Country:US
Mailing Address - Phone:206-586-8822
Mailing Address - Fax:626-770-5563
Practice Address - Street 1:9030 35TH AVE SW STE 100
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98126-3821
Practice Address - Country:US
Practice Address - Phone:206-586-8822
Practice Address - Fax:626-770-5563
Is Sole Proprietor?:No
Enumeration Date:2023-07-28
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WASC614513321041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical